NIHB Claims Services Provider Website

NIHB Claims Services Provider Website The NIHB Claims Services Provider Website is a bilingual communications tool between ESI Canada and Non-Insured Health Benefits (NIHB) providers. It is the main source for information about the claim submission process and is also used to keep providers informed about changes to the Health Information and Claims Processing System (HICPS). It is used by non-registered/non-enrolled providers to facilitate the registration process and view general information about the NIHB Program. Registered/enrolled providers use the website to access various documents. The website is also accessed by authorized users at Health Canada and ESI Canada. The website is updated as required to ensure that registered/enrolled providers have all the information that Health Canada and ESI Canada deem necessary to assist them with the submission of their HICPS claims. The NIHB Claims Services Provider Website consists of public and secure web pages: Public Web pages can be viewed by anyone. These pages contain a general message area that displays HICPS alerts or updates, and non-sensitive information such as provider registration forms. Public Web pages also contain a Sign In section for registered/enrolled providers and authorized Health Canada and ESI Canada users to access the secure components of the NIHB Claims Services Provider Website. Secure Web pages are accessible only to registered/enrolled providers, authorized Health Canada and ESI Canada users and require user authentication. Secure web pages contain information such as bulletins, policy and program information, forms, claim submission kits, newsletters, dental benefit grids, drug benefit lists and drug benefit updates and MS&E benefits and criteria. The secure area also contains links to Health Canada s Non-Insured Health Benefits for First Nations and Inuit web page, ESI Canada s website, frequently-asked questions, ESI Canada s privacy promise, and a PDF version of this guide. Logging into and Out of the NIHB Claims Services Provider Website You must sign in with valid credentials to access the secure pages of the NIHB Claims Services Provider Website. Secure web pages are accessible only by registered/enrolled providers, authorized Health Canada and ESI Canada staff, and require user authentication by means of a user name and password. Your access to the NIHB Claims Services Provider Website expires when your NIHB Program registration expires. July 2010 2009-2010 ESI Canada. All Rights Reserved. 1

Logging into and Out of the NIHB Claims Services Provider Website NIHB Claims Services Provider Website If your password has changed, a period of up to 20 minutes may be required for the new password to take effect. The session times out after a period of 20 minutes of inactivity. Following a session timeout, you are required to log in again. ESI Canada assigns providers their user name and password at the time of registration. The language of the website (English or French) is based on your Windows language. To access the NIHB Claims Services Provider Website 1. Navigate to http://www.provider.esicanada.ca/. The public web page opens. 2. Click the Sign In button to open the Sign In page. 3. Type your user name and password. 4. Click Login. To sign out of the NIHB Claims Services Provider Website 1. From the Welcome menu, select Sign Out. You are returned to the Sign In page. 2. Close the browser window. Changing your Password You can change your password at any time. The system requires you to change your password when you first log on to the NIHB Claims Services Provider Website, or when the system notifies you that your password is scheduled to expire. To change your password 1. From the Welcome menu, select Change Password. 2 2009-2010 ESI Canada. All Rights Reserved. July 2010

NIHB Claims Services Provider Website Logging into and Out of the NIHB Claims Services Provider Web- The Change Password page appears. 2. In the Current Password field, type your current password. For security reasons, passwords are masked. 3. In the New Password field, type the new password. Passwords are case-sensitive and follow the rules for passwords described at the top of the page. 4. In the New Password (Confirm) field, re-type the new password. 5. Click Change Password. The new password is recorded in the system. July 2010 2009-2010 ESI Canada. All Rights Reserved. 3

Logging into and Out of the NIHB Claims Services Provider Website NIHB Claims Services Provider Website Language Selection You can select a display language (English or French) from the Welcome menu at any time. The current session refreshes in the selected language. The selected language also becomes the default display language for subsequent sessions. 4 2009-2010 ESI Canada. All Rights Reserved. July 2010

NIHB Claims Services Provider Website NIHB Claims Services Provider Website Overview NIHB Claims Services Provider Website Overview When you log in successfully, the secure NIHB Claims Services Provider Website appears. From the main NIHB Claims Services Provider Website page, you can access the benefit-level page and library-level page: NIHB Claims Services Provider Website page Benefit-level page Library-level page NIHB Claims Services Provider Website Main Page The main page contains the following information and links: Link Libraries Alerts Description Links to benefit-specific libraries. See Benefit-Level Page below. System alerts, such as planned maintenance periods. July 2010 2009-2010 ESI Canada. All Rights Reserved. 5

Benefit-Level Page NIHB Claims Services Provider Website Link Announcements Useful Links Description HICPS announcements to providers. Links to Health Canada s Non-Insured Health Benefits for First Nations and Inuit web page, ESI Canada s website, frequently-asked questions, ESI Canada s privacy promise, and a PDF version of this guide. Benefit-Level Page The benefit-level page displays the documents contained in the following document libraries: Library Newsletters Bulletins Policy and Program Information Forms Drug Benefit List/Benefit Updates Claims Submission Kits Dental Benefit Grids MS&E Benefits and Criteria Description Published quarterly. Newsletters present benefit-specific news and information to providers who provide services to NIHB clients. Published as required to inform providers of updates to eligible NIHB Program benefits. PDF version of the Provider Guide that provides information on Health Canada s NIHB Program and policies relevant to providers. All enrollment and registration forms necessary to prepare and submit NIHB Program claims. A listing of eligible drugs provided as benefits by the NIHB Program. The list and updates are used as a tool for physicians and pharmacists for optimal, cost-effective therapy. Information for claims submission. Claims kits help providers understand how HICPS operates. Claims kits outline the role of the provider, and contain all the information providers need to submit claims. Provincial NIHB Dental Benefit Grids for general practitioners, specialists, and denturists, listing eligible services within three schedules: A, B, and C. MS&E products and services provided as eligible benefits by the NIHB program, along with information on benefit codes, requirements for prior approval, and applicable frequency limitations. Library-Level Page The library-level page displays the contents of the library selected in the benefit-level page. Click the file name to open the document. 6 2009-2010 ESI Canada. All Rights Reserved. July 2010

NIHB Claims Services Provider Website Revision History Filtering and Sorting List Content You can customize a list by sorting the content in ascending or descending order based on the selected column, or filter the list based on a column value. Ascending and descending sort options Removes a filter Filters content based on current list value For example, if you select a filter of 6/15/2009, the list will display rows of documents created on that date only. Lists that are filtered display the following icon in the column header: You can employ filters on multiple columns in a list. Revision History Version Sections Affected Source Description 2.0 All Changed the HICPSS acronym to HICPS. Updated website name to NIHB Claims Services Provider Website. Introduction Logging into and Out of the NIHB Claims Services Provider Website Added more information on content of the secure web pages. Updated label of the link that provides the user access to the NIHB Claims Services Provider Website. Added session time-out information. Added sign out instructions. Changing your Password Replaced screen sample of the Change Password screen which now contains field and button labels in English and French. July 2010 2009-2010 ESI Canada. All Rights Reserved. 7

Revision History NIHB Claims Services Provider Website Version Sections Affected Source Description NIHB Claims Services Provider Website Main Page Benefit-Level Page Updated Useful Links description. Updated descriptions of Policy and Program Information, Drug Benefit List/Benefit Updates, Dental Benefit Grids, MS&E Benefits and Criteria. 8 2009-2010 ESI Canada. All Rights Reserved. July 2010