Get Green Shield Claim Forms

The Green Shield Claim Forms are essential for submitting claims for related health professional services. This guide will provide step-by-step instructions to help users complete the form online with ease and confidence.

Follow the steps to successfully fill out the Green Shield Claim Forms.

1. Click 'Get Form' button to access the claim form and open it in your preferred editor.
2. Begin by entering the patient's information. Fill out the patient's surname, first name, date of birth, and address including city, province, and postal code.
3. Provide the provider's details. This includes the name of the practitioner, the Green Shield provider number, and their phone number.
4. Select the appropriate profession type code for the services rendered from the list provided. Note that some services may require a physician's authorization.
5. In the section for services rendered, indicate the date of the last visit covered by the provincial plan and describe the treatment received, along with the number of hours, if applicable.
6. Answer the questions regarding other insurance coverage, whether the treatment relates to a motor vehicle accident, or a work-related injury.
7. Ensure that the provider and patient signatures are included to certify that the information provided is accurate and complete.
8. Once all sections are filled out accurately, you can save the changes, download the completed form, print it, or share it as needed.

Start filling out the Green Shield Claim Forms online today to ensure timely processing of your claims.