Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Date: December 9, 2009
Organization:
Ontario Association of Community
Care Access Centres (OACCAC)
Division:
Business Solutions
Version:
2.11
Version Date:
December 09, 2009
Prepared By:
Ion Moraru
Updated By:
Ellen Hsu
1
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
Revision Log
Version
No.
Version Date
Summary of Change
Changed
by/Input from
1.0
October 19, 2007
First draft
Guy Fortin
1.1
October 26, 2007
Changed size of ClientReferralCode from 2 to 12 (typo)
Guy Fortin
Added Activity Code table in Appendix A
Renamed Distilled XML Chapter to Appendix B
ClientLastName and LineItemUnitCode changed from
mandatory to optional
Other minor edits to descriptions
1.2
November 13, 2007
Fixed typo in Figure 1 (changed "0 to several" to "1 to
several")
Guy Fortin
1.3
December 4, 2007
Change VendorContractCode and ProviderContractCode
to ContractCode
Guy Fortin
Add VendorSuppliedLineItemNumber to BillingLineItem
Add UnitOfService to PurchasedServiceItem
Added a Date and Time description in section 2
2.0
January 25, 2008
Added ClientFirstName to BillingLineItem element
Moved VendorCost element from BillingLineItem
element to EquipmentAndSupplyItem element
Moved ContractCode from EquipmentAndSupplyItem
and PurchasedServiceItem element to BillingLineItem
element
Change DeliveryDate and StartDate from Optional to
Mandatory in EquipmentAndSupplyItem element
Added ServiceOrderId to PurchasedServiceItem
element
Moved QuantityBilled from PurchasedServiceItem
element to BillingLineItem element
2.1
Feb 8, 2008
Added ContractName to BillingLineItem element
Changed ClientLastName to Mandatory in Client
element
Date: December 9, 2009
2
Guy Fortin
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Version
No.
Version Date
2.11
Version Date: December 09, 2009
Summary of Change
Added GeographicArea to to BillingLineItem element
Adde ItemOrderType and RecordType attributes to
E&SSupplyItem element
Chamged LineItemUnitCode, BillingAmountWithTax,
GST, and PST to Mandatory on E&SsupplyItem element
Added UnitDollarRate for VendorCost element
Added Service element to PurchasedServiceItem
element (and move UnitOfService there)
Added ServiceDeliveryType appendix
Updated Distilled XML appendix with diagrams
2.2
Feb 8, 2008
Changed version number so that its in sync with the
XML schema file
2.3
Feb 19, 2008
Added InvoiceType field to BillingInvoice element
Added OriginatingFilename to BillingInvoice element
Moved all fields from BillingLineItem element to
EquipmentAndSupply element or PurchasedServiceItem
element and deleted BillingLineItem
Removed ProviderActivityCodes from
PurchasedServiceItem (already present in Service
element)
Moved GeopgraphicArea from PurchasedServiceItem
element to Service element
2.4
Feb 19, 2008
Added Type attribute to PurchasedServiceItem
element
2.5
March 3, 2008
Reflect feedback from CHRIS Team review
-
-
-
Date: December 9, 2009
Make InvoiceType mandatory
Deleted RecordType and ItemOrderType attributes,
and GeographicalArea from
EquipementAndSupplyItem element
Made OriginalItemDescription, DeliveryDate,
StartDate optional in EquipementAndSupplyItem
Change BillingAmountWithTax to
BillingAmountWithoutTax in
EquipementAndSupplyItem
Make ServiceOrderId mandatory in
PurchasedServiceItem
3
Changed
by/Input from
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
Version
No.
Version Date
Summary of Change
2.6
March 7, 2008
Renamed ClientReferralCode to
BillingReferenceNumber and moved it from Client
element to PurchasedService element
2.7
April 21, 2008
Neglected to actually rename ClientReferralCode to
BillingReferenceNumber in PurchasedService element
2.8
May 27, 2008
Renamed ServiceOrderID to ProviderAssignmentId in
the PurchaseServiceItem element.
Changed
by/Input from
Ion Moraru
Added RecordType attribute to the
EquipmentAndSuppliesItem element.
2.9
June 17, 2008
Added TransmissionDateTime to the main element
Ion Moraru
Added SpecialtyCode to the Service element
Removed ContractName from
EquipmentSupplyLineItem and PurchaseServiceItem
element
Changed the QuantityBilled’s type to decimal
Renamed to DeliveryDateTime and changed the type to
datetime.
Added a new element RentalPeriod and moved Start
Date and End Date under it.
2.10
October 29, 2009
Value of <ReBill> changed from Alpha “Yes” “No” to
Boolean “1” or “0”.
Ellen Hsu
2.11
December 9, 2009
Added Sender and Destination elements that describer
the participants in the message exchange
Arthur Bydon
Changed the ServiceType to ServiceCode
Date: December 9, 2009
4
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
Table of Contents
1.
Billing Invoice ............................................................................................................ 6
1.1
1.2
2.
Brief Description
High Level Structure
6
6
Billing Invoice Elements ............................................................................................ 7
2.1
2.2
2.3
BillingInvoice element detail
EquipmentAndSupplyItem element detail
PurchasedServiceItem element detail
7
11
15
3.
Appendix A - Activity Codes ................................................................................... 20
4.
Appendix B - Service Delivery Type ....................................................................... 22
5.
Appendix B - Distilled XML Schema for Billing InvoiceError! Bookmark not defined.
Date: December 9, 2009
5
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
1. Billing Invoice
1.1 Brief Description
A Billing Invoice is a document that is sent by a provider or vendor to a CCAC as a means of
billing for purchased services, rentals, or purchased items. Once a Billing Invoice has been
received and processed by a CCAC, a Billing Reconciliation Report is sent back to the vendor
or provider to communicate the status of each billed line item.
This document specifies the information and associated format that make up a Billing Invoice,
the Reconciliation report is described in a separate document called "CCAC Billing
Reconciliation Report Format Specification".
.
1.2 High Level Structure
The Billing Invoice is an XML document with the following high level element structure:
Figure 1 Billing Invoice Structure
BillingInvoice
Contains 1 to several
BillingLineItem
Contains one of
EquipmentAndSupplyItem
PurchasedServiceItem
As the diagram above depicts, a BillingInvoice element may contain from zero to several
BillingLineItem elements. A BillingLineItem element can be one of either an
EquipmentAndSupplyItem or a PurchasedServiceItem element. These four elements represent
the high level structure of the Billing Invoice document. Note that there is currently a restriction on
a Billing Invoice in that it can only contain one type of Item. That is, an invoice must contain either
EquipmentAndSupplyItems or PurchasedServiceItems but not both.
Date: December 9, 2009
6
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
2. Billing Invoice Elements
The following tables document the fields and elements that make up a Billing Invoice.
A note about Date and Time specification:
All dates and times contained in the specification adhere to the W3C Universal Time Code (UTC)
standard and are formatted as follows:

date: yyyy-mm-dd (size 10 bytes); e.g. 2007-11-21

datetime: yyyy-mm-ddThh:mm[:ssTZD]; (size 16 bytes - if omitting ss and TZD - and 25 bytes
with ss and TZD); e.g. 2007-11-21T14:56:19-05:00 (for EST timezone)

time: hh:mm[:ssTZD] (size 5 - if omitting ss and TZD - and 14 bytes with ss and TZD); e.g.
14:56:19-05:00
Where "yyyy" represents the year, "mm" the month from 01 through 12, "dd" the day of the month,
"T" separates the date from the time, "hh" the hour from 00 through 24, "mm" the minutes, "ss" the
seconds and TZD represents the timezone which reflect the times difference relative to GMT, so it
can range from +12:00 to -13:00; both "ss" and TZD are optional; TZD is not yet supported by this
specification.
2.1 BillingInvoice element detail
Name
Version (Attribute of
BillingInvoice element)
Date: December 9, 2009
Field
Type
Length
(bytes)
Max 10
Mandatory? Description Flat File
Num
Yes
7
The version of
the Schema
that this
BillingInvoice
document
adheres to.
E.g. "1.0".
This is
required for
the receiving
CCAC system
to correctly
understand
the
information
being
provided
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
Field
Type
Length
(bytes)
2.11
Version Date: December 09, 2009
Mandatory? Description Flat File
Sender (parent
element)
-
-
Yes
A group of
elements and
attributes
identifying the
sender of the
document.
Destination (parent
element)
-
-
Yes
A group of
elements and
attributes
identifying the
recipient of
the document
Organization (child
element of Sender or
Destination)
-
-
Yes
Identifies the
organization
sending or
receiving the
document
Code (attribute of
Organization)
50
Alpha/Num
Yes
Specifies the
unique code
of the sender
or the
recipient
organization
Type (attribute of
Organization)
150
Alpha/Num
Yes
Specifies the
type of the
sender
organization.
Valid content
is:
“CCAC”
“Provider”
“Vendor”
Name (child of
Organization)
250
Alpha
No
The name of
the sender or
the recipient
organization
Date: December 9, 2009
8
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
OwnerOrganization
(child of Organization)
Field
Type
Length
(bytes)
2.11
Version Date: December 09, 2009
Mandatory? Description Flat File
-
-
Yes
Specifies the
owner
organization
of the sender
or the
recipient
Code (attribute of
OwnerOrganization)
50
Alpha/Num
Yes
Specifies the
unique code
of the sender
or the
recipient
owner
organization
Type (attribute of
OwnerOrganization)
150
Alpha/Num
No
Specifies the
type of the
sender or the
recipient
owner
organization.
Valid content
is “CCAC”,
“Provider” or
“Vendor”. If
not provided
the “CCAC”
type is
assumed.
Name (child element of
OwnerOrganization)
250
Alpha
No
The name of
the sender or
the recipient
owner
organization
Date: December 9, 2009
9
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
OrganizationCode
Field
Type
Length
(bytes)
2.11
Version Date: December 09, 2009
Mandatory? Description Flat File
10
Alpha/Num
Yes
A unique
number
assigned to
Vendor by
local CCAC.
Reference
may be
“provider” or
“vendor”
organization
Header.VendorOrgCode
2-4
Alpha
Yes
A unique
number for
the CCAC.
Valid values
are: "ESC"
|"SW" |
"WW" |
"HNHB" |
"CW" |
"MH" |"TC"
| "CENT"|
"CE"| "SE"
| "CHAM"|
"NSM"|
"NE" |
"NW"
CCACId
InvoiceType
25
Alpha
Yes
The type of
invoice this
represents.
One of
"Purchased
Service" or
"Equipment
and Supplies"
N/A
VendorInvoiceDate
10
Date
(yyyy-mmdd)
No
A
vendor
provided Date
for the Invoice
Header.InvoiceDate
CcacCode
Date: December 9, 2009
10
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
Field
Type
Length
(bytes)
VendorInvoiceNumber
Max 50
2.11
Version Date: December 09, 2009
Mandatory? Description Flat File
Alpha
numeric
No
A
vendor
provided
Invoice
Number
Header.VendorInvoice
Reference#
OriginatingFilename
100
Alpha
numeric
No
The filename
of the original
invoice
N/A
TransmissionDateTime
20
DateTime
Yes
The date and
time of this
transmittal
N/A
LineItemCount
10
Numeric
Yes
Number
of
line items in
this file
Header.RecordCount
2.2 EquipmentAndSupplyItem element detail
Name
Field Type
Length
(bytes
)
LineItemType (attribute of
EquipmentAndSupplyItem)
Max 10
Alpha
Yes
Identifies this Line Item as
either a "Rental" | "Purchase" |
"Finance" item
-
eleme
nt
Yes
An Element that contains the
following client information
fields
12
Alpha/
Yes
A code that identifies the Client
associated with this item. This
number was provided by the
CCAC at time of order
Client (Element)
ClientIdentifier
Man Description
dat
ory?
Num
Date: December 9, 2009
11
Flat File
S A F
N/A
T Y P E
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
2.11
Version Date: December 09, 2009
Field Type
Length
(bytes
)
Man Description
dat
ory?
Flat File
ClientLastName
50
Alpha
Yes
The last name of the Client
associated with this item. This
information was provided by
the CCAC at time of order
Surname
ClientFirstName
50
Alpha
No
The first name of the Client
associated with this item. This
information was provided by
the CCAC at time of order
N/A
PurchaseOrderNumber
Max 15
Alpha/
num
Yes
The Purchase Order number
provided by the CCAC at time
of order
PurchaseOrder
#
PurchaseOrderLineNumber
Max 15
Alpha/
num
Yes
Identifies this Line Item to the
CCAC; provided by the CCAC
at time of order
Equipment/Su
pply Line Item
#
Num
Yes
A code that identifies the Client
Referral associated with this
item. This number was
provided by the CCAC at time
of order
Billing
Reference #
BillingReferenceNumber
12
ContractCode
Max 15
Alpha/
Num
Yes
Contract Number assigned to
provider by the CCAC when
the contract was entered into
VendorContrac
tCode
VendorSuppliedLineItemNu
mber
Max 15
Alpha /
num
No
An optional value supplied by
the vendor that is returned
back to the vendor by the
CCAC in the Reconciliation
Report
VendorReferen
ce
RentalBilllingPeriod
element
No
Mandatory for Rental items
The last name
of the Client
associated
Yes
The date the rental period
starts for this invoice
StartDate
RentalBillingStartDate
Date: December 9, 2009
Max 10
Date
12
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
2.11
Version Date: December 09, 2009
Field Type
Length
(bytes
)
Man Description
dat
ory?
Flat File
Max 10
Date
Yes
The date the rental period
ends.
EndDate
QuantityBilled
Max 8
Num
Yes
The number of Units being
billed for by this item (could be
decimal 6.2).
Quantity
VendorItemCode
Max 15
Alpha/
num
Yes
The code that identifies the
specific item ordered and
delivered to the client;
Assigned by CCAC
VendorItemCo
de
LineItemUnitCode
Max 10
Alpha
Yes
Code for the units in which the
item has been delivered (e.g.,
UNIT,EACH, CASE, BOX,
SET, DOZ, GROSS)
ItemUnitCode
OriginalItemDescription
Max 50
Alpha
No
This is the summary
description of this line item as
filled in by the CCAC at time of
order
Equip/Supply
Description
20
DateTi
me
No
Date the purchase item was
delivered. Mandatory for
Purchased+Finance Items.
StartDate (for
Purchase
Items)
-
eleme
nt
No
An Element that contains the
following cost information
Type (Attribute)
5
Alpha
Yes
Attribute of the VendorCost
Element with value DEBIT or
CREDIT to identify this line
time as either a DEBIT or a
CREDIT to the CCAC; if not
provided the default will be
DEBIT
N/A
BillingAmountWithoutTax
8
Num
Yes
Amount being billed for this
item without Goods & Services
Tax (GST) or Provincial Sales
Tax (PST) (decimal value)
LineItemCost
RentalBillingEndDate
DeliveryDateTime
VendorCost (element)
Date: December 9, 2009
13
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
Rebill
Date: December 9, 2009
Field Type
Length
(bytes
)
2.11
Version Date: December 09, 2009
Man Description
dat
ory?
Flat File
GST
8
Num
No
Amount of Goods & Services
Tax for this item (decimal
value)
GST
PST
8
Num
No
Amount of Provincial Sales
Tax for this item (decimal
value)
PST
6
Boolea
n
No
Identifies that this item is being
re-billed; valid values are "1"
for yes | "0” for no. The default
is “0”.
Rebill
14
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
2.3 PurchasedServiceItem element detail
Name
Field
Length
(bytes)
Type
Mand Description
atory
?
Type (attribute)
6
Alpha
Yes
"Credit" or "Debit"; if not
provided the default will be
DEBIT
Client (Element)
-
element
Yes
An Element that contains the
following client information fields
Alpha/
Yes
A code that identifies the Client
associated with this item. This
number was provided by the
CCAC at time of order
ClientIdentifier
12
Num
Flat
File
N/A
N/A
ClientLastName
50
Alpha
Yes
The last name of the Client
Surname
associated with this item. This
information was provided by the
CCAC at time of order
ClientFirstName
50
Alpha
No
The first name of the Client
N/A
associated with this item. This
information was provided by the
CCAC at time of order
ProviderAssignmentId
25
Alpha /
num
Yes
The unique number that
identified this item when it was
first ordered
BillingReferenceNumber
12
Alpha/N
um
Yes
A code that identifies the Client HomeCa
Referral associated with this
reRefere
item. This number was provided nce
by the CCAC at time of order
ContractCode
Max 15
Alpha/N
um
Yes
Contract Number assigned to
provider by the CCAC when the
contract was entered into
N/A
VendorSuppliedLineItemN
umber
Max 15
Alpha /
num
No
An optional value supplied by
the vendor that is returned back
to the vendor by the CCAC in
the Reconciliation Report
VendorR
eference
#
Date: December 9, 2009
15
N/A
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
QuantityBilled
Field
Length
(bytes)
Type
2.11
Version Date: December 09, 2009
Mand Description
atory
?
Flat
File
Max 8
Num
Yes
The number of Units billed for
this item. Decimal value 6.2
Quantity
ProviderBillingCode
4
Num
Yes
A billing code assigned to the
provider contract which
represents a rate and a period of
time
VendorId
entifier
(line item
level)
Service (element)
-
element
Yes
An Element that contains the
following three fields to describe
the Service that is being billed
for in this item
Date: December 9, 2009
16
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
ServiceCode
Field
Length
(bytes)
Type
-
NUM
2.11
Version Date: December 09, 2009
Mand Description
atory
?
Yes
Assigned by CCAC. Identifies
the general service delivered to
the client; valid values are:
20
AMB (Ambulance
Services – CCAC)
27
AT (Attendant Care –
CCAC)
37
DP (Adult Day Program
– CCAC)
07
ENT (Enterostomal
Therapy)
21
GER (Psychogeriatric
Resource Coord – CCAC)
11
HOM (Home Support
(Homemaking))
09
LAB (Laboratory
Services – CCAC)
08
MOW (Meals on
Wheels – CCAC)
22
NP (Nurse Practitioner)
01
NUR (Nursing)
03
NUT (Nutritional
Services)
06
OT (Occupational
Therapy)
Date: December 9, 2009
17
Flat
File
ServiceC
ode
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
Field
Length
(bytes)
Type
2.11
Version Date: December 09, 2009
Mand Description
atory
?
29
Flat
File
PAS (Pastoral Care)
30
PHA (Pharmacy
Consultation)
26
PHY (Physician)
12
PM (Paramedical
Services – CCAC)
23
PSM (Palliative Pain &
Sympton Mgmt)
25
PSY (Psychology)
05
PT (Physiotherapy)
10
RT (Respiratory
Therapy)
04
SP (Speech/Language
Pathology)
02
SW (Social Work)
24
TRANS (Transportation
- CCAC)
ER (Children's
Enhanced Respite Service)
ODB (Ontario Drug
Benefit)
SH (Supportive Housing
– CCAC)
ServiceDeliveryType
Date: December 9, 2009
Max 50
Alpha
Yes
18
Identifies a more specific service N/A
within the general ServiceType
to be delivered to the client; See
Appendix B for list of valid
values
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Name
2.11
Version Date: December 09, 2009
Field
Length
(bytes)
Type
UnitOfService
Max 6
Alpha
No
Code assigned by CCAC for the ServiceU
units in which the service has
nitCode
been delivered (e.g., HOUR,
VISIT)
SpecialtyCode
Max 20
Alpha
No
Specialty designation required
for this service. Please refer to
Appendix B for Service
specialties associated with
Service Delivery Types.
N/A
No
CCACs can further define
contracts specific to a
geographic area, or a local
contract distinction.
N/A
No
In addition to geographic areas,
contracts can be further defined
by other locally defined
distinctions.
N/A
GeographicArea
250
LocalDistinction
250
Alpha /
num
Alpha /
num
Mand Description
atory
?
Flat
File
The local distinction will be used
by CCACs who have separate
contracts for specific client
groups, such as Children /
Adults / ABI distinctions for OT.
ProviderActivityCodes
(list)
VisitDate
Date: December 9, 2009
Max 50
10
Alpha
Date
No
A list of ActivitieCode elements
that Identifies the service
provider activity with the client.
ServiceA
ctivities
Yes
The date when the service was
carried out
ServiceD
ateFrom
19
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
3. Appendix A - Activity Codes
Service
Type
Code
<all>
Description
Activity Code and Description
Activities
Common to All
Services
01 Assessment E.g. physical, functional, financial, psychosocial, environment,
initial and ongoing and/or follow-up.
02 Conference on Behalf of Patient Conferences organized on behalf of the
patient under the auspices of the Home Care Program.
03 Teaching/Counseling I.e. advising, instructing, supporting, interpreting,
demonstrating, planning and problem solving: to include patient and/or
significant other.
04 Equipment/Devices/Materials I.e. selection, design and training in the use of.
05 Situational Management Dealing with unexpected changes in the family
situation.
09 Not Seen/Not Found Self-explanatory.
NUR,
ENT
Nursing and
Enterostomal
Therapy
10 Assistance with Personal Care (e.g. foot care, hair care, bath mouth care)
11 Dressing Care of wound.
12 Injection Introduction of medication subcutaneously or intramuscularly.
13 Vital Signs, Signs of life as related to a specific illness (i.e. temperature, pulse
(apex and radial), respiratory, blood pressure, weight).
19 Other Treatment (e.g. IV therapy, enemata, ostomy care, cataract care,
collection of blood, monitoring medications).
SW
Social Work
20 Individual Therapy/Counseling Therapy and advice in a one to one
relationship. Problems may have an emotional basis or be concrete ones of daily
living.
21 Family and Marital Therapy When the family unit or marital relationship is the
therapy focus.
22 Group Therapy When two or more persons interact in problem solving, e.g.
coping with cancer.
23 Community Planning, developing, implementing, evaluating activities in
support of Home Care Program Objectives, e.g. liaison with social agencies,
inservice education.
SP
Speech Therapy
40 Language Therapy Comprehension and expression of the symbols of human
communication.
41 Articulation Therapy Intelligibility of speech and sound production.
42 Voice Therapy Loudness, pitch, clarity and sound production.
43 Rate Therapy Rate and/or rhythm of utterance.
44 Hearing Therapy Listening skills, lip reading.
Date: December 9, 2009
20
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
PT
Physiotherapy
2.11
Version Date: December 09, 2009
50 Exercise Specific routines or techniques to increase or maintain strength,
mobility, balances, coordination and chest care.
51 Supplementary Testing Methods used to ascertain functional level including
tolerance testing.
52 Monitor Physical Functional Capability Self-explanatory.
53 Modality Use of mechanical and/or physical agents.
OT
Occupational
Therapy
60 Functional Restoration Personal care, dressing, eating, postural exercise,
diet, medications, toilet, sex, locomotion, transfers, transportation.
61 Household Management Organization and management of household, meals,
money, marketing, laundry, etc.
62, 63 Energy Conservation/Work Techniques Simplification Self-explanatory
64 Psycho/Social Adjustments Interpersonal relationships/socialization. Family
dynamics (child management, etc).
69 Vocational/Avocational Work readiness, play techniques, use of leisure.
HOM
Homemaking
90 Housekeeping E.g. light housekeeping, laundry
91 Child Care Self-explanatory
92 Personal Care Under direction of the nurse or therapist, provides supervision
of: bath, dressing, transfers, feeding medications, walking and communication
93 Meal Preparation/Special Diets E.g. diet supervision, advanced preparation of
meals
94 Shopping Self-explanatory
99 Other E.g. outings, banking, accompanying patient to appointments.
PM
Paramedical
80 Personal Care
89 Other
Date: December 9, 2009
21
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
2.11
Version Date: December 09, 2009
4. Appendix B - Service Delivery Type
The following table provides the Service Delivery Type Code, as well as Specialty, Unit of Delivery, and
Service Location, by Service Type Code
Table 1 Correlating Service attributes
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
ENT
ENT
ENT
ENT
Children’s Treatment Network
Referrals
Visit dietician - Children's
Treatment Network
Visit OT - Children's Treatment
Network
Visit PT - Children's Treatment
Network
Hourly speech - CTN
Visit speech - Children's Treatment
Network
Visit social work - Children's
Treatment Network
Home Care Referrals
Ambulance trip - one way
Hourly attendant care
Visit attendant care
Visit Adult Day Program accessed
via CCAC
Hourly ENT home care
Hourly ENT Palliative Home Care
Visit ENT combined nursing &
therapy day clinic
Visit ENT combined nursing &
therapy day/night clinic
Visit ENT home care
Visit ENT nursing only clinic
Visit ENT Palliative Home Care
ENT
Visit ENT primary care practice
Visit
ENT
Visit ENT Residential Hospice
Hourly Children's Enhanced Respite
home care
Visit Psychogeriatric Resource
Coordination home care
Hourly Homemaking - Caregiver
Respite home care
Hourly Homemaking - Combined
personal support & housekeeping
Visit
Home Care
Home Care
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Nursing Day Clinic
Home Care
Primary Care
Practice
Residential
Hospice
Hour
Home Care
Visit
Home Care
Hour
Home Care
Hour
Home Care
NUT
OT
PT
SP
SP
SW
AMB
AT
AT
DP
ENT
ENT
ENT
ER
GER
HOM
HOM
Date: December 9, 2009
Palliative
Visit
Home Care
Visit
Home Care
Visit
Hour
Home Care
Home Care
Visit
Home Care
Visit
Home Care
Visit
Hour
Visit
Home Care
Home Care
Home Care
Visit
Hour
Hour
Visit
Palliative
Homemaking –
Caregiver Respite
Combined Personal
Support and
22
Visit
Visit
Visit
visit
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Service
Type
HOM
HOM
HOM
HOM
HOM
HOM
HOM
LAB
MOW
Service Delivery Type Code
home care
Hourly Homemaking - Housekeeping
home care
Hourly Personal Support Home Care
Hourly Personal Support Residential
Hospice
Visit Homemaking - Combined
home care
Visit Homemaking - Housekeeping
home care
Visit Homemaking - Respite home
care
2.11
Version Date: December 09, 2009
Specialty
Housekeeping
Homemaking Housekeeping
Homemaking Personal Support
Homemaking Personal Support
Combined Personal
Support and
Housekeeping
Homemaking Housekeeping
Homemaking Caregiver Respite
Homemaking Personal Support
Unit of
Delivery
Hour
Home Care
Hour
Hour
Home Care
Residential
Hospice
Visit
Home Care
Visit
Home Care
Visit
Home Care
Visit
Visit
Visit
Home Care
Home Care
Home Care
Hour
Visit
Hour
Home Care
Home Care
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Nursing Day Clinic
Home Care
Phone
Primary Care
Practice
Residential
Hospice
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Home Care
Home Care
Nursing Day Clinic
Home Care
Phone
Primary Care
Practice
NUR
NUR
NUR
NUR
NUR
Visit Personal Support home care
Visit Lab home care
Meals on Wheels CCAC
Hourly Nurse Practitioner home
care
Visit Nurse Practitioner home care
Hourly nursing home care
Shift nursing combined therapy &
nursing day clinic
Shift nursing combined therapy &
nursing day/night clinic
Shift nursing home care
Shift nursing nursing only day clinic
Shift Nursing Palliative Home Care
Shift nursing phone call
NUR
Shift nursing primary care practice
Hour
NUR
Hour
NUR
NUR
NUR
NUR
NUR
NUR
NUR
Shift Nursing Residential Hospice
Visit nursing combined therapy &
nursing day clinic
Visit nursing combined therapy &
nursing day/night clinic
Visit nursing Continence home care
Visit nursing home care
Visit nursing IV home care
Visit nursing nursing only day clinic
Visit Nursing Palliative Home Care
Visit nursing phone call
NUR
Visit nursing primary care practice
NP
NP
NUR
NUR
NUR
Date: December 9, 2009
Hour
Palliative
Hour
Hour
Hour
Hour
Hour
Visit
Nursing - Continence
Nursing - IV
Palliative
Visit
Visit
Visit
Visit
Visit
Visit
Visit
Visit
23
Service Location
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Service
Type
NUR
NUT
NUT
NUT
NUT
NUT
NUT
Service Delivery Type Code
Visit nursing Wound Care home
care
Hourly dietician home care
Visit dietician phone call
Visit dietician combined nursing &
therapy day clinic
Visit dietician combined nursing &
therapy day/night clinic
Visit dietician home care
2.11
Version Date: December 09, 2009
Specialty
Nursing - Wound Care
Unit of
Delivery
Visit
Hour
Visit
Visit
Visit
Visit
Service Location
Home Care
Home Care
Phone
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Residential
Hospice
Visit Dietician Residential Hospice
Visit dietician therapy only day
clinic
Visit OT phone call
Visit OT combined nursing &
therapy day clinic
Visit OT combined nursing &
therapy day/night clinic
Visit OT home care
Visit OT home care hourly
Visit
Visit
Visit
Visit
Hour
Home Care
Visit
Visit
Visit
Visit
Visit
Home Care
Home Care
Home Care
Home Care
Phone
Visit
Visit
Hour
Home Care
Home Care
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Phone
PT
Visit OT Residential Hospice
Visit OT therapy only day clinic
Visit Pastoral Care home care
Hourly Pharmacy Consultation
home care
Visit Pharmacy Consultation home
care
Visit Physician home care
Visit Physician Palliative Home Care
Visit paramedical
Pain & Sympton Mgmt phone call
Visit Pain & Sympton Mgmt home
care
Visit Psychologist home care
Hourly PT home care
Visit PT combined nursing &
therapy day clinic
Visit PT combined nursing, therapy
day/night clinic
Visit PT home care
Visit PT phone call
Visit PT Pulmonary Rehab Home
Care
Therapy Day Clinic
Phone
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Home Care
Residential
Hospice
Therapy Day Clinic
Home Care
PT
Visit PT Residential Hospice
NUT
OT
OT
OT
OT
OT
OT
OT
PAS
PHA
PHA
PHY
PHY
PM
PSM
PSM
PSY
PT
PT
PT
PT
PT
Date: December 9, 2009
Visit
Visit
Visit
Visit
Visit
Hour
Palliative
Visit
Visit
Visit
Visit
PT - Pulmonary
Rehab
Visit
Visit
24
Home Care
Residential
Hospice
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Service
Type
PT
RT
Service Delivery Type Code
RT
RT
Visit PT therapy only day clinic
Hourly RT home care
Visit RT combined nursing, therapy
day clinic
Visit RT combined nursing, therapy
day/night clinic
Visit RT home care
RT
RT
SH
SP
SP
Visit RT Residential Hospice
Visit RT therapy only day clinic
Supportive Housing
Hourly speech home care
Hourly speech therapy clinic
SP
Visit Communicate Device Assistant
Home Care
RT
SP
SP
SP
SP
SP
SP
SP
SW
Visit speech augmentative
communication home care
Visit speech combined nursing,
therapy day clinic
Visit speech combined nursing,
therapy day/night clinic
Visit speech home care
Visit speech phone call
2.11
Version Date: December 09, 2009
Specialty
Unit of
Delivery
Visit
Hour
Visit
Visit
Visit
Hour
Hour
Therapy Day Clinic
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Residential
Hospice
Therapy Day Clinic
Home Care
Home Care
Therapy Day Clinic
Visit
Home Care
Visit
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Phone
Residential
Hospice
Therapy Day Clinic
Home Care
Combined Day
Clinic
Combined
Day/Night Clinic
Home Care
Phone
Residential
Hospice
Therapy Day Clinic
Home Care
Visit
Visit
Visit
Speech Communicative
Device Assistant
Speech Augmentative
Communication
Visit
Visit
Visit
Visit
Visit speech Residential Hospice
Visit speech therapy only day clinic
Hourly social work home care
Visit social work combined nursing,
therapy day clinic
Visit social work combined nursing,
therapy day/night clinic
Visit social work home care
Visit social work phone call
Visit social work Residential
Hospice
Visit social work therapy clinic
Transportation home care
School Referrals
Visit
Visit
Hour
Visit
HOM
Visit ENT private/home school
Hourly Personal Support
Private/Home School
NUR
Hourly nursing private/home school
SW
SW
SW
SW
SW
SW
TRANS
ENT
Date: December 9, 2009
Visit
Visit
Visit
Visit
Visit
Visit
Visit
Homemaking Personal Support
Hour
Hour
25
Service Location
Private/Home
School
Private/Home
School
Private/Home
School
Version:
Community Care Access Centre (CCAC)
Billing Invoice Format Specification
Service
Type
Service Delivery Type Code
2.11
Version Date: December 09, 2009
Specialty
Unit of
Delivery
NUR
Hourly nursing public school
Hour
NUR
Shift nursing private/home school
Hour
NUR
Shift nursing public school
Hour
NUR
Visit nursing private/home school
Visit
NUR
Visit
NUT
Visit nursing public school
Hourly dietician private/home
school
NUT
Hourly dietician public school
Hour
NUT
Visit dietician private/home school
Visit
NUT
Visit dietician public school
Visit
OT
Hourly OT private/home school
Hour
OT
Hourly OT public school
Hour
OT
Visit OT private/home school
Visit
OT
Visit OT public school
Visit
PT
Hourly PT private/home school
Hour
PT
Hourly PT public school
Hour
PT
Visit PT private/home school
Visit
PT
Visit PT public school
Visit
SP
Hourly speech private/home school
Hour
SP
Hourly speech public school
Hour
SP
Visit speech private/home school
Visit
SP
Visit speech public school
Visit
Date: December 9, 2009
Hour
26
Service Location
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School