Medical Services Plan of British Columbia

The Medical Services Plan of British Columbia (MSP) is the government-administered, single-payer health insurance scheme in the Canadian province of British Columbia, operating under the auspices of the country's national Medicare program. Under the Canadian constitution, provinces are responsible for the delivery of health care, while the national Canada Health Act ensures access to universal health care for all citizens of the country.

The plan covers medically required services provided by a physician enrolled with MSP; maternity care provided by a physician or a midwife; medically required eye examinations provided by an ophthalmologist or optometrist; diagnostic services, including x-rays and laboratory services, provided at approved diagnostic facilities, when ordered by a registered physician, midwife, podiatrist, dental surgeon or oral surgeon; dental and oral surgery, when medically required to be performed in hospital; and orthodontic services related to severe congenital facial abnormalities.

MSP claims processing system is integrated with a web-based telecommunications system, Teleplan. Teleplan is used by practitioners to securely submit from over 4,200 computer sites their claims, notes and eligibility requests to MSP, and receive payment statements, rejected claims and patient eligibility data from MSP through an encrypted Internet connection. Teleplan receives and processes over 5 million claims monthly, valued at approximately $116 million. Approximately 95% of all claims are processed within 30 days, with the majority being paid within 14 days. Billing software is developed for these sites by over 80 software vendors who are registered with MSP. An association called Medical Software Vendors Association (MSVA) is formed by the major vendors to work with MSP for ongoing specifications and or method changes. Teleplan was started in late 1980s, went through many specification and technological changes and is MSP's main gateway of medical claim information.

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