Error AF

High Urgency

No Coverage on Date of Service

Patient's MSP coverage was not active on the date of service, resulting in claim refusal.

Official Description: This patient does not have coverage for the DOS.

Follow these steps in order to resolve the error.

Verify the Date of Service (DOS) and Personal Health Number (PHN) on your claim match the patient's record. Correct any data entry errors and resubmit.
Perform a PHN eligibility check in your EMR or on the Teleplan web portal for the specific Date of Service. This will confirm if a coverage gap exists.
If the eligibility check confirms a lack of coverage, contact the patient. Inform them that MSP has refused the claim and they are responsible for the bill. Advise them to contact Health Insurance BC to resolve their coverage status.
Once the patient has been informed, send them a private invoice for the full amount of the service.
If the patient successfully resolves their coverage issue retroactively with HIBC, you can then resubmit the claim to MSP for payment. Keep the patient's private invoice on file until the MSP claim is paid.