Term: Medical Claims

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Glossary Definition

Last Updated: 2012-10-16

Definition:

These are provider (physician/midwife) claims for services (e.g., physician visits in offices, hospitals and outpatient departments, fee-for-service components for tests such as lab and x-ray procedures) submitted to the provincial government for payment, or as "shadow billing" that provides a record of the visit.

For additional information, see the Physician Claims or the Medical Services Data glossary terms.

Related concepts 

• Adult Immunizations
• Physician / Hospital Claims

Related terms 

• Claims
• Evaluation Claims
• Hospital Claims
• Manitoba Health Services Commission (MHSC)
• Medical Claims File
• Medical Services / Medical Claims Data
• Most Responsible Diagnosis
• Non-Hip Fractures
• Physician Claims
• Physician Claims File
• Physician Reimbursement Claims
• Respiratory Infections
• Shadow Billing

References 

• Smith M, Finlayson G, Martens P, Dunn J, Prior H, Taylor C, Soodeen RA, Burchill C, Guenette W, Hinds A. Social Housing in Manitoba. Part II: Social Housing and Health in Manitoba: A First Look. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] (View)

Term used in 

• Brownell M, Chartier M, Santos R, Ekuma O, Au W, Sarkar J, MacWilliam L, Burland E, Koseva I, Guenette W. How are Manitoba's Children Doing? Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)