LIST UPDATED AS OF DECEMBER 01, 2019
MEDICAL SERVICES PLAN
CLAIMS BRANCH
Payment Adjustment Codes:
NOTE: The following reflects the codes and description used in adjustment records shown on your remittance statement. These are the total additions or deductions to the gross payment of a claim or the payee summary.
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AC JSC ONE TIME FUNDING (+)
AD JSC ONE TIME FUNDING RECOVERY (-)
AE RCME RECOVERY (-)
AP 3RD PARTY RECOVERY
AR AUDIT RECOVERY (MID MONTH)(-)
A1 MSP ADVANCE
A2 RCME PREV FY (+)
A3 FPS4BC PRACTICE (-)
A4 FPS4BC PRACTICE (+)
A5 JSC ONE TIME FUNDING PREV FY (+)
A6 AUDIT RECOVERY (END PMT) (-)
A7 RECEIVER GENERAL PMT ($)
A8 HA ADMIN OF SPLP PREV FY (+)
A9 HA ADMIN OF SPLP PREV FY (-)
BI BIP AUDIT RECOVERY (%)
B1 SUBSIDUARY AGREEMENT - ORTHO (+)
B3 SUBSIDUARY AGREEMENT - PAED (+)
B5 SUBSIDUARY AGREEMENT - RADIOLOGY (+)
B7 SUBSIDUARY AGREEMENT COMM 10+ (+)
B9 SUBSIDUARY AGREEMENT COMM 3 - (+)
CP LONGITUDINAL CARE PAYMENT
D1 EMCP EMRG ON CALL(+)
D3 EMCP G.P. ANAES/SURG (+)
D5 EMCP - CME (+)
D6 DR. OF THE DAY (RETRO) +
D7 DR. OF THE DAY (+)
D8 DR. OF THE DAY (-)
EB EXTRA BILLING
E0 BIRTH PROGRAM RECOVERY (-)
E1 PRINCE GEORGE (+)
E2 BIRTH PROGRAM
E3 WILLIAMS LAKE (+)
E4 MEDICAL ON-CALL AVAIL PROG +
E5 MEDICAL ON-CALL AVAIL PROG -
E6 MOCAP - PREVIOUS YEAR LIABILITIES
E7 FEE PREMIUM EQUIVALENT-PREV YR LIABLTY
E8 RRP - FLAT SUM PREVIOUS YR LIABILITY
E9 RECRUITMENT CONTINGENCY FUND (+)
F1 RECRUITMENT CONTINGENCY FUND RECOVERY
F2 LOCUMS-FT ST JOHN (+)
F3 LOCUMS-FORT ST JOHN (-)
F4 HA ADMIN OF SPLP
F5 HA ADMIN OF SPLP
GD GEOGRAPHICAL DIFFERENTIAL PAYMENT
GR RESIDENTIAL CARE
GT GP ASSIGNED INPATIENT CARE NETWORK
GU GP UNASSIGNED INPATIENT CARE NETWORK
G1 RURAL GP LOCUM PROGRAM(-)
G2 WEEKEND CALL LUMP SUM $2000
G3 TOP-UP WEEKEND CALL
G4 TRAVEL TIME (3 DAYS CALL)
G5 TRAVEL EXPENSES (3 DAY CALL)
G6 RECOVERY (3 DAYS CALL) LOCUM COVERAGE
G7 RGPLP TRAVEL EXPENSE RECOVERY (-)
G8 RGPLP TRAVEL TIME RECOVERY (-)
H1 PRV FIS ACCRUAL WEEKEND LUMP SUM
H2 PRV FIS ACCRUAL TOP-UP WEEKEND CALL
H3 PRV FIS ACCRUAL TRAVEL TIME 3 DAYS
H4 PRV FIS ACCRUAL TRAVEL EXPENSES 3 DAY
H5 PRV FIS SPEC ON-CALL TRAVEL TIME
H6 PRV FIS SPEC ON-CALL $1000
H7 PRV FIS SPEC ON-CALL TOP UP +
H8 PRV FIS ACCRUAL LOCUM
H9 PRV FIS ACCURAL LOCUM - TOP UP
I2 PRV FISCAL RECOVER TOP-UP
I3 PRV FIS ACCRUAL - TRAVELLING EXPENSES
I4 PRV FIS ACCRUAL TRAVELLING TIME
I5 PRV FIS RSLP OFFICE TRAVEL EXPENSES
I6 PRV FIS RSLP HOSP TRAVEL EXPENSES
J1 SPECIALIST OFFICE TRAVEL TIME (+)
J2 SPECIALIST OFFICE
J3 SPECIALIST OFFICE TOP-UP (+)
J4 RSLP RECOVERY OFFICE $1000 (-)
J5 RSLP RECOVERY OFFICE TIME (-)
J6 RSLP OFFICE TRAVEL EXP
J7 RSLP OFFICE TRAVEL EXP
J8 RSLP HOSP TRAVEL EXP
J9 RSLP HOSP TRAVEL EXP
KA HA ADMINISTRATION OF REEF(PREV FISCAL)
KB HA ADMINISTRATION OF REEF(PREV FISCAL)
K1 PREV FIS SPEC OFFICE TRAVEL TIME (+)
K2 PREV FIS SPEC OFFICE $1000 (+)
K3 PREV FIS SPEC OFFICE TOP-UP (+)
K4 SPECIALIST TOP-UP RECOVERY(-)
K5 RURAL EMERGENCY ENHANCEMENT FUND-REEF
K6 RURAL EMERGENCY ENHANCEMENT FUND-REEF
K7 HA ADMINISTRATION OF REEF (+)
K8 HA ADMINISTRATION OF REEF (-)
LB BASE FEE ADJUSTMENT(+)
LC UBC REAP (+)
LD RCC'BC (+)
LE FEE PREMIUM RADIOLOGY/PATHOLOGY (+)
LF FEE PREMIUM RADIO/PATH PREV FISCAL
LG RGPLP/RSL ADMINISTRATION (+)
LH ISOLATION ALLOW FUND (PREV FISCAL)
LI RCC'BC PREV FISCAL
LJ LIFELABS ANNUAL RECONCILIATION (+)
LP LIFELABS PREVIOUS FISCAL
LT LIFELABS CURRENT FISCAL
L1 ON CALL IN HOSP (-) 100%
L2 SPEC ON-CALL TRAVEL TIME(+)
L3 SPECIALIST ON-CALL $1000 +
L4 SPECIALIST ON-CALL TOP-UP +
L5 ISOLATION ALLOWANCE FUND
L6 ISOLATION ALLOWANCE FUND
L7 RSLP RECOVERY ON-CALL $1000(-)
L8 RSLP RECOVERY ON-CALL TIME (-)
L9 ONE LAB ITEM RECOVERY(-)
MA NITA MAID LOCAL STIPEND
MB NITA MAID MENTOR STIPEND
MC NITA PREV FISCAL MAID LOCAL STIPEND
MD NITA PREV FISCAL MAID MENTOR STIPEND
M1 MED CON TRAVEL EXPENSE
M2 MABC PROF DEV PROGRAM LEVY
M3 MABC PROF DEV PROGRAM LEVY (3.5%)
NA DO NOT USE NA
NB NITAOP MAID TRAVEL EXP
NC NITAOP MAID TRAVEL TIME
ND NITA PREV FISCAL MAID EXPENSE
NE NITA PREV FISCAL MAID TRAVEL TIME
NP NP PROVINCIAL PC SUPPORT PROG (+)
NR NP PROVINCIAL PC SUPPORT PROGRAM(-
N1 NITA TRAVEL EXPENSES(+)
N2 NITAOP TRAVEL/GP EXPENSES(+)
N3 NITA RECOVERY(-)
N4 NITAOP TRAVEL TIME/GP EXPENSES(-)
N5 NITA PREV FISCAL TRAVEL EXPENSES (+)
N6 NITA PREV FISCAL TRAVEL TIME (+)
N7 NITAOP ACCRUAL PREV FISCAL (+)
N8 NITA PREV FISCAL RECOVER EXP (-)
N9 NITA PREV FISCAL RECOVER TIME (-)
OC OOC LUMP SUM NEGOTIATED PAYMENT
PA PHARMACARE DIO CPR
P1 PHC - SHORTFALL ESTIMATE
P2 PHC OUTFLOW ADJUSTMENT
P3 PHC SPECIAL FEE ITEM CREDIT
P4 PHC OVERPAYMENT RECOVERY
P5 PHC OTHER
P6 PHC STABILITY FUND PAYOUT
P7 PHC YEAR-END PAYMENT
P8 RECORD MANUAL CHEQUES
P9 PHC YEAR-END RECOVERY
QA PCPC BASKET ADJUSTMENTS (+)
QB PCPC BASKET ADJUSTMENT (-)
QC PCPC RRP (+)
QD PCPC RRP (-)
QE PCPC ECONOMIC DEVELOPMENT (+)
QF PCPC ECONOMIC DEVELOPMENT (-)
QG PCPC OUTFLOWS (+)
QH PCPC OUTFLOWS (-)
QI PCPC INCOME GUARANTEE (+)
QJ PCPC INCOME GUARANTEE (-)
QK PCPC TRANSITION GUARANTEE (+)
QL PCPC TRANSITION GUARANTEE (-)
QM REISSUE
QN REISSUE
Q0 PHC QUARTERLY RECOVERY
Q1 PHC RECOVERY
Q2 PHC ONE-TIME PAYMENT
Q3 PBF INTERIM FUNDING
Q4 PCPC BASE (+)
Q5 PCPC BASE (-)
Q6 PCPC PANEL (+)
Q7 PCPC PANEL (-)
Q8 PCPC QUALITY IMPROVEMENT (+)
Q9 PCPC QUALITY IMPROVEMENT (-)
RA GPALP DAILY RATE (+)
RB GPALP DAILY RATE (-)
RC PRV FIS DAILY RATE
RD GPALP TOP PAYMENT (+)
RE GPALP TOP PAYMENT (-)
RF PRV FIS TOP PAYMENT
RG GPALP TRAVEL EXP (+)
RH GPALP TRAVEL EXP (-)
RI PRV FIS TRAVEL EXP
RJ GPALP TRAVEL TIME(+)
RK GPALP TRAVEL TIME(-)
RL PRV FIS TRAVEL TIME
RM RECRUITMENT RECOVERY (RSA-04) (-)
RN RECRUITMENT CONTINGENCY (PREV FISCAL)
RP RECRUITMENT INCENTIVE (PREV FISCAL)
RQ RCME COMMUNITY FUNDS PROGRAM
RR RCME COMMUNITY FUNDS PROGRAM
RS PREV FISCAL RCME COMMUNITY FUNDS
R1 HLTHMATCH R HLTH (+)
R2 CONT MED EDUCATION (RSA-04)
R3 RECRUITMENT (RSA-04)
R4 NIA RETRO - APP
R5 RETENTION RECOVERY (RSA-04)
R6 RGPLP ENHANCED SKILLS(+)
R7 RGPLP ENHANCED SKILLS(-)
R8 PREV FISC ENHANCED SKILLS(+)
R9 PREV FISC ENHANCED SKILLS(-)
S1 SUBSIDUARY AGREEMENT - GEN/SURG (+)
S3 SUBSIDUARY AGREEMENT - PSYCHIATRY (+)
S5 SUBSIDUARY AGREEMENT - ANAES (+)
S7 SUBSIDUARY AGRREEMENT-INTERNAL MED(+)
S9 SUBSIDUARY AGREEMENT - OBS/GYN (+)
TA HEALTH TECH ASSESSMENT PMT
T1 SPECIALTY TRAINING BURSARY - REAP (+)
T2 RRP FLAT FEE RECOVERY (-)
T3 SPECIALTY TRAINING BURSARY-REAP (-)
T4 FEE PREM EQUIVALENT(-)
W1 LIMITATIONS ACT - MSP WRITE OFF
W2 WRITE OFF UNDER FAA
W9 REFUNDS OWED - CLEAR CREDIT
01 NORTHERN ALLOWANCE
02 PRORATION
03 RECOVERY MANUAL ADVANCE
04 INTEREST
05 MSP DEDUCTION
06 AUDIT RECOVERY
07 RECEIVER GENERAL PMT
08 ICBC DEMAND RECOVERY
09 ASSIGNMENTS-DEMANDS
10 MSP GROUP PREMIUM DEDUCTIONS
11 ASSIGNMENT FIXED AMOUNT MID-MONTH
12 DEMAND-ASSIGNMENT PMT
13 RECEIVER GENERAL PMT ($)
14 FEE SCHEDULE HARDCOPY CHARGE
15 MSP REFUND
16 GST ON FEE SCHEDULE HARDCOPY
17 PAYM'T - CLAIM OVER 3 YEARS OLD
18 DEBT RECOVERY BY SET OFF (%)
19 DEBIT RECOVERY BY SET OFF ($)
20 CANCELLED DEC 2002
21 CLEAR DEBIT BALANCES
22 DISCOUNT ADJUST REPAYMENT
23 CLAIM CARD KEYING CHARGE
24 PAPER REMITTANCE CHARGE
25 DEDUCT DEBIT BALANCE
26 PAPER R/S CHARGE - MANUAL
27 COURIER CHARGE
28 LUMP SUM PAYMENT
29 ASSIGNMENT FIXED AMOUNT END-MONTH
30 CANCELLED DEC 2002
31 WCB LIFT
32 DISCOUNT
33 THRESHOLD PRORATION
34 GEOGRAPHIC PYMT RATE
35 FEE ITEM PRORATION
36 2004 LAB REFORM / 1997 RVG
37 EMERGENCY MEDICAL COVERAGE PROGRAM
38 PRAC/PAYEE DISCOUNT
39 RURAL RETENTION PREMIUM
40 CANCELLED DEC 2002
41 GP LOCUM PROGRAM
42 RGPLP - DAILY RATE
43 LOCUM - TOP UP
44 LOCUM - STANDBY
45 RETENTION PREMIUM GENERAL PRACTICE (+)
46 RRP FLAT FEE (+)
47 MINIMUM PMT PRORATION
48 CONTINUING MEDICAL EDUCATION (+)
49 MID-MONTH %
50 BCMA ANNUAL DUES DEDUCTIONS
51 RETENTION PREMIUM SPECIALIST (+)
52 FEE PREM EQUIVALENT(+)
53 EXTENDED EMERGENCY COVERAGE (+)
54 RETENTION PREMIUM GENERAL PRACTICE (-)
55 B C CHIROPRACTIC ASSOCS ANNUAL DUES
56 MASSAGE THERAPISTS ASSOC ANNUAL DUES
57 EMERGENCY COVERAGE SITE G.P. (+)
58 EMERGENCY COVERAGE SITE G.P. (-)
59 EMERGENCY PAYMENT
60 EMERGENCY ADVANCE RECOVERY
61 EMERGENCY COVERAGE SITE SPEC (+)
62 EMERGENCY COVERAGE SITE SPEC (-)
63 POST GRADUATE TRAINING (+)
64 USER FEE BREAKDOWN FOR STATS
65 PHC SEMI-MONTHLY ADVANCE
66 PHC RETRO PAYMENT
67 PHC QUARTERLY PAYMENT
68 RECRUITMENT BENEFIT (+)
69 RECRUITMENT BENEFIT (-)
70 APP ADJUSTMENT
71 APP MONTHLY RELEASE
72 APP RECOVERY (PRORATION)
73 CONTINGENCY FUNDING TOP UP (+)
74 SPECIALIST LOCUM PROGRAM
76 RURAL RETENTION RECOVERY (RRP)
77 PREMIUM ADJUSTMENT RECOVERY
78 NIA RECOVERY
79 RSLP RECOVERY
80 RETRO PAYMENT
81 RECOVER NEGATIVE RETRO AMTS
82 NIA RETRO ADJUSTMENT
83 RURAL RETENTION RETRO (RRP)
84 WCB ADJUSTMENT RETRO
85 GST RECOVERED ON CARD KEYING CHARGES
86 GST RECOVERED ON TEMP HARDCOPY CHARGE
87 GST RECOVERED ON FICHE R/S CHARGES
88 RECIPROCAL PAYMENT
89 SESSIONAL PAYMENT
90 TRAVELLING EXPENSES
91 TRAVELLING TIME
92 URBAN SPECIALIST ON CALL (+)
93 URBAN SPECIALIST ON CALL (-)
94 RETRO ON-CALL AVLBLTY PYMNTS 2001/02 +
95 RETRO ON-CALL AVLBLTY PYMNT 2001/02 -
96 SESSIONAL RETRO PAYMENT