ODB Billing of Pre-Registered Newborns

If the HNS rejects a claim for a newborn with response code “C8” (no record of this beneficiary), then the pharmacy may establish eligibility in OHIP+ if the infant does NOT have a private plan

– To establish eligibility in OHIP+, the pharmacy must submit plan code “J” in the Carrier ID field, include the SSC “U” and specify intervention code “ML”

– One day of eligibility will be established – Eligibility can be established for subsequent dates if necessary

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