LiUNA Local 506

1-416-506-8841

At this time, this payer is not providing real-time adjudication, so all claim requests will come back with a “claim pending” response. Therefore, claim submission is only available with the option “payable to” the patient. We recommend submitting the claim and selecting “payable to” the patient as well as collecting the full treatment amount from your patient.

A response following a claim acknowledgement is usually processed within a week. Predeterminations and rejected claims are mailed to providers daily, and cheques along with explanation of benefit statements for payable claims are mailed on the 1^st and 15^th of each month.

At this time, this payer is not providing real-time adjudication, so all predetermination requests will come back with a “claim pending” response.

No, the payment is limited to insured members.

Providers are paid by cheque every 2 weeks and payment statements are mailed along with cheques. Please note that at this time, this payer is not providing real-time adjudication, so all claim requests will come back with a “claim pending” response. We recommend submitting the claim and selecting “payable to” the patient as well as collecting the full treatment amount from your patient.

No.

Only one treatment per day for the same procedure code is eligible.

• Acupuncturists (Only allowed if the acupuncturist is registered with the College of Traditional Chinese Medicine.)

• Chiropodists

• Chiropractors

• Massage therapists

• Naturopathic doctors

• Occupational therapists

• Osteopaths

• Physiotherapists

• Podiatrists

• Psychologists

• Psychotherapists

• Social workers

• Speech-language therapists

At this time, LiUNA Local 506is not providing real-time adjudication, so all claim requests will come back with a “claim pending” response. We recommend submitting the claim and selecting “payable to” the patient as well as collecting the full treatment amount from your patient.