OTN – Telemedicine

OTN – Telemedicine

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How do physicians qualify for telemedicine?

To qualify physicians must sign and complete an “OHIP Telemedicine Physician Registration Form” to be registered as a telemedicine provider with the Ministry of Health and LongTerm Care.

How do I bill an OTN service?

First enter OTN in the SLI field.

On the OHIP claim form the letters OTN must appear in the SLI field (service location indicator)

The OTN Screening Service Codes (effective April 1, 2020):

B103A:
$0.00 Hosted video visit – patient attending at a patient host site
Synchronous video visits with a patient who is physically located and supported at a patient host site during the clinical encounter.

B203A:
$0.00 Direct-to-Patient Video Visit
Synchronous video visits with a patient in the home or another location of their choice (i.e. the patient is not at a patient host site).


The OTN codes that were effective PRIOR to April 1, 2020

  1. Premium Service Fee Codes that follow procedure service codes
    1. B100A: $35.00 First Telemedicine Patient Encounter premium (formerly OTN1)
    2. B200A: $15.00 Subsequent Telemedicine Patient Encounter premium (formerly OTN2)
  2. Premium Fee Service Codes that are billed on their own
    1. B101A: $35.00 First Cancelled/Missed Telemedicine Patient Encounter premium*
    2. B201A: $15.00 Subsequent Missed/Cancelled Telemedicine Patient Encounter premium*
    3. B102A: $35.00 First Technical Difficulties Abandoned Patient Encounter premium*
    4. B202A: $15.00 Subsequent Technical Difficulties Abandoned Patient Encounter premium*

* Services cannot be billed in addition to the premiums for a missed, cancelled, or abandoned session.


There are eleven Rejection codes applicable to telemedicine billings:

  1. ET1: Provider Not Registered for Telemedicine Program;
  2. ET4: Telemedicine Premium/Tracking Code Missing;
  3. ET5: Telemedicine SLI Code Missing or Invalid;
  4. TM1: Duplicate Telemedicine Claim for Same Patient;
  5. TM2: Service Not Billable for Missed/Cancelled/Abandoned Appointment;
  6. TM3: Service Not Payable Under Telemedicine Program;
  7. TM4: Non-Telemedicine Claim Already Paid for This Patient;
  8. TM5: Telemedicine Claim Already Paid for This Patient; and
  9. TM6: Telemedicine Registration Not in Effect on Service Date.
  10. TM7: Dental Services Not Payable Under Telemedicine Program;
  11. TM8: Provider Not Eligible for Store Forward Telemedicine Services
For more information read bulletin 4750 here . . .

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