PRINTING CLAIMS FOR PATIENTS WITH CANADIAN ADDRESSES
Registering Patients who have Canadian Addresses
A. On the Patient tab in Registration:
 Address 1: Enter the patient’s street address: Number Street Name Suite
 Address 2: Enter the patient’s: Municipality Province Code Postal Code CANADA
Example:
Address 1: 11 Pinnacle Ridge Drive
Address 2: Calgary AB T3Z 3N7 Canada




Do not enter commas or other punctuation marks in Address 2
If the name of the municipality is more than one word long, enter hyphens (not spaces)
between the words
Enter only one space between each address segment
Province code – use the 2 character code; do not spell out the Province name
The following is a listing of Province codes:
AB – Alberta
BC – British Columbia
MB – Manitoba
NB – New Brunswick
NL – Newfoundland & Labrador

PE – Prince Edward Island
QC – Quebec
SK – Saskatchewan
YT - Yukon
Postal Code - may be obtained on the Canada Post website:
http://www.canadapost.ca/segment-e.asp
a.
b.
c.

NS – Nova Scotia
NT – Northwest Territories
NU – Nunavut
ON – Ontario
Click on “Find a Postal Code” found on the menu at the top of the web page.
Read the directions supplied; and then enter the address for which you need a postal code.
Click on submit. The results will display on the screen. Below is a sample screen shot:
City, State, Zip and Country fields must be left blank.
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PRINTING CLAIMS FOR PATIENTS WITH CANADIAN ADDRESSES
B. On the Account tab in Registration:
 Enter the words “CANADIAN ADDRESS” in the Account Comments field.
This will help the charge entry staff identify these claims and “hold” them from electronic billing.

Use the same data entry rules when entering subscriber addresses which are Canadian.
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PRINTING CLAIMS FOR PATIENTS WITH CANADIAN ADDRESSES
C. In Charge Entry:
 Claims for Patients having a Canadian address must be held from electronic billing and printed to
paper. In order to assist the charge entry staff in identifying those vouchers which should be held
from electronic billing the staff should be trained to check the Account Comments field which is
displayed on the Charge Entry screen.

In addition a Claim Type may be created and assigned to the appropriate Carriers. This Claim
Type will display whenever a voucher is created and one of the designated Carriers is selected as
Payor. (See the online help for details.)

In Charge Entry on the Summary screen the option “Hold Voucher From: Electronic Claim
Billing”, must be selected.
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PRINTING CLAIMS FOR PATIENTS WITH CANADIAN ADDRESSES
Billing File Maintenance
The crystal reports and project documentation needed for this setup are:
1. BCBSMHCFA1500CanadianAddr.rpt
2. HCFA1500CanadianAddr.rpt-Generic
3. BCBSM HCFA 1500 Canadian Address Claim Form.doc
4. HCFA 1500 Canadian Address Paper Claim Form.doc
These files are stored on: \\apss1\ntierprise\hm NT Library\Ntierprise Custom Crystal Reports\Paper Claim
Forms
NOTE: In order to determine which options apply to the Practice,
 Have samples of their printed claim forms as they should be sent.
 For each Carrier determine whether the Practice is required to submit an Individual Billing
number and/or Group Billing number.
1.
Add the following Crystal Reports to the folder “Custom Crystal Reports” which resides on the Practice
server, \\<Server Name>\<Practice Name>\Custom Crystal Reports:
a. BCBSMHCFA1500CanadianAddr.rpt
b. HCFA1500CanadianAddr.rpt-Generic
2.
Create Paper Claim Formats
These paper formats support both Canadian and non-Canadian addresses.
a. BCBSMCAN – (Project Documentation: “BCBSM HCFA 1500 Canadian Address Claim Form”)
b. BCNMICAN – (Project Documentation: “BCBSM HCFA 1500 Canadian Address Claim Form”)
c. HCFA-CAN – (Project Documentation: “HCFA 1500 Canadian Address Paper Claim Form”)
3.
Create Claim Styles
a. BCBSMCAN – (Project Documentation: BCBSM HCFA 1500 Canadian Address Claim Form p.
2)
b. BCNMICAN – (Project Documentation: BCBSM HCFA 1500 Canadian Address Claim Form p.
3)
c. HCFA-CAN – (Project Documentation: HCFA 1500 Canadian Address Paper Claim Form p. 2)
4.
Set up Insurance Carrier Maintenance for each Carrier the practice will submit paper claims to.
a. Refer to the appropriate project document
 BCBSM carriers - (Documentation: BCBSM HCFA 1500 Canadian Address Claim Form p. 3)
 BCN carriers – (Documentation: BCBSM HCFA 1500 Canadian Address Claim Form p. 3)
 Medicare carriers – (Documentation: HCFA 1500 Canadian Address Paper Claim Form p. 2)
5.
Let Nancy Hannon in QA know which clients are using these custom crystal reports.
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