Get Canada C019 2022-2025

The Canada C019 form is essential for billing physiotherapy services under the Workers' Compensation Board. This guide provides detailed steps to assist users in accurately completing the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the Canada C019 form online:

1. Click ‘Get Form’ button to obtain the Canada C019 form and open it in your preferred document editor.
2. Begin filling in the fields starting with the WCB claim number. This number is crucial for tracking and referencing your billing.
3. Enter the date of the accident using the format yyyy/mm/dd. Accuracy here is important for proper claim processing.
4. Fill in the worker’s surname and first name in the designated fields. Ensure correct spelling to avoid processing delays.
5. Provide the date of birth of the individual associated with the claim, again in the format yyyy/mm/dd.
6. Complete the address section by providing the street address, city or town, and telephone number. Make sure this information is clear and legible.
7. In the service items section, list the date of service using yyyy/mm/dd format, along with the health service code and a description of the provided service.
8. State the quantity of services provided and the rate per unit before calculating the total amount billed for that service.
9. Repeat the previous step for any sundry items, including the same details as above.
10. In the name and address section for whom the fee is payable, fill in the provider's name, WCB billing number, telephone number, fax number, and provider reference number as required.
11. Lastly, enter the date before you save your changes. You can then download, print, or share the completed form as necessary.

Complete all required documents online to ensure prompt processing of your claims.