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Get Authorization For Group Payment
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How to fill out the Authorization For Group Payment online
The Authorization For Group Payment form is essential for facilitating payments to health care groups recognized by the Ministry of Health and Long-Term Care. This guide aims to provide clear and helpful instructions on how to complete this form online, ensuring users can efficiently navigate the process.
Follow the steps to fill out the Authorization For Group Payment form online:
- Click ‘Get Form’ button to obtain the Authorization For Group Payment form and open it in your preferred editor.
- In Section 1, enter the group information. Fill in the Group Name, Effective Date, Group Billing Number, and Group Address, including Unit Number, Street Number, Street Name, City/Town, Province, and Postal Code. If known, also provide the End Date.
- Move to Section 2 to input your health care professional information. Complete your Last Name, First Name, Telephone Number, OHIP Billing Number, and Current Registration Number.
- Read the authorization statement carefully. By signing, you confirm that the ministry can make payments to the specified group for services you provided. Ensure that you understand the billable services terms.
- Sign the form to indicate your agreement and include the Date of signing.
- Once all sections are completed, you can save changes, download, print, or share the completed Authorization For Group Payment form as needed.
Complete your Authorization For Group Payment form online today for a smooth payment process.
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