All codes
Q401
Q401 – Q401
OHIP Critical Care Code · Schedule of Benefits
When to Use
- Use Q401 to bill for the completion of a primary care template or specific patient enrollment form required by the Ministry of Health for rostered patients.
- Apply this code when submitting the mandatory annual health review documentation for patients enrolled in a Family Health Organization (FHO) or Family Health Group (FHG).
Common Pitfalls
- Billing Q401 on the same day as a comprehensive assessment (A007) often triggers a rejection or audit flag if the documentation does not clearly distinguish the administrative enrollment task from the clinical service.
- Submitting Q401 for patients who are not formally rostered to your practice will result in an automatic rejection by the Ministry.
Billing Tips
- Ensure the patient's Health Number is active and the roster status is confirmed in the Ministry's database prior to submission to avoid invalid claim rejections.
Provider Fee$0.00
Effective: August 1, 2016
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