Medical Claims Electronic Data Transfer (MC EDT)
The Ministry’s EDT & Health Card Validation services are changing – Be prepared
As stated in an InfoBulletin issued by the Primary Healthcare Branch, a new internet-based Medical Claims Electronic Data Transfer (MC EDT) service will replace the current modem-based EDT system. This change comes into effect January 1, 2015. After that date, submissions via any other format will be rejected.
The following Ministry-mandated, internet-based functionality is fully integrated in ABELMed for your convenience:
- Medical Claims Electronic Data Transfer (MC EDT) is available in ABELMed version 12.11 and newer
- Health Card Validation (HCV) is available in ABELMed version 12.13 and newer
To request the latest ABELMed software update, please complete our product request form: http://www.abelmed.com/Support/ProductFeedback.
Prepare now and avoid any backlog that may occur closer to the December 31, 2014 deadline.
- Install ABELMed version 12.11 or newer
- Complete your MC EDT enrollment with the Ministry by registering for your GO Secure login credentials to access these services. Here’s how to register: http://www.health.gov.on.ca/en/pro/publications/ohip/docs/mcedt_best_practices_en.pdf
MC EDT Configuration and User Guide
ABELMed has been configured to automatically upload and download your MOHLTC submission files and reports from the MCEDT website. Follow this guide for setup instructions and user information.
Health Card Validation - HCV
ABELMed versions 12.13 and later fully supports the Ministry of Health’s latest internet based Health Card Validation service. Prepare now and install this latest update to take advantage of the benefits of HCV.
The HCV service allows health care providers and organizations to determine the status of a patient’s health number and version code (when presented at the point of service for provincially funded health care services). Therefore, reducing eligibility and version code claim rejections.
Why Validate?The benefits of HCV responses provide decision-making information at the time of service and allow a health care provider or organization to:
- Verify patient data
- Reduce eligibility claim rejects by ensuring a client is eligible for service prior to service delivery
- Reduce version code claim rejects associated with incorrect version codes
- Reduce administrative costs by confirming uninsured clients to allow health care providers to direct bill clients (e.g. debit/credit, credit card) at the time of service where applicable
- Reduce health care fraud by eliminating service to ineligible clients and by visually confirming HCV response information with client at the point of service; for example, gender, date of birth.