Re: 177188 Marilyn Elliot - Setup Green Shield Parent Payer & Discussion of Invoicing Methods - [#1361500]

From
Kristy Poyner <billing@thekey.com>
To
dfancy@thekey.com
CC
bboxall@thekey.com, kristy.poyner@thekey.com, matthew.benson@thekey.com, jeannie.ortiz@thekey.com, tthomas@thekey.com, michelle.kenaga@thekey.com
Date
Mon, 05 Jan 2026 23
Folder
INBOX
----==_mimepart_695c43e75928d_255272590514112020347 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: quoted-printable Hi Dennis,=C2=A0 Looping in Tim Thomas here for line of sight. I = have a few clarifying question before we can decide how to move forward w= ith this request. Also looping in our Finance onboarding manager, Jeannie= Ortiz, in case she has any other questions I may have missed.=C2=A0 = Will the insurance carrier be paying TheKey directly or reimbursing the= client? Is there anything that we can have on file that identifies, fro= m the carrier, how much coverage the client is approved for? Is there a = website or anything we can reference to identify how we would submit clai= ms to this carrier? Thank you, Kristy Poyner Billing Manager |=C2=A0= TheKey =0D =0D On=0D Mon, 5 Jan at 1:23 PM=0D , Dennis Fancy wrote:=0D =0D Hi Marc, =0D =0D Nice to hear from you and Happy New Year! =0D =0D This client has retroactively been approved for 3 hours of daily care in= 2025 up to a maximum of $5000 CAD per annum.=C2=A0 =0D =0D I have been on hold with Green Shield for several hours trying to get se= t up as a provider for billing purposes. Given the time of year, their ca= ll volume is higher than usual. To answer your question, we can put off b= illing for December until I have clarification from Green Shield in terms= of how we will be reimbursed. Once I have this information I will let yo= u know. =0D =0D Thank you for your patience while we work through this. The client has c= hosen to work with us because of our willingness to bill the insurance pr= ovider directly, minimizing/mitigating their out of pocket costs. =0D =0D Sincerely, =0D =0D =0D =0D Dennis Fancy, BSP =0D General Manager | Winnipeg, MB (204) 489-6000 =0D =0D =0D TheKey.ca =0D =0D =0D =0D =0D =0D =0D =0D On Sat, Jan 3, 2026 at 9:45=E2=80=AFAM Marc Atkinson wrote: =0D =0D =0D =0D =0D =0D =0D =0D Hi Dennis,=C2=A0 =0D =0D =0D =0D Thank you for your email and for providing this information. To clarify = the situation with client Marilyn Elliot: =0D =0D =0D =0D All shifts from 12/3-12/31 have been entered into the client's care logs= and look to be set to bill on Wednesday.=C2=A0 =0D =0D =0D =0D May you confirm if Green Shield is setup as a Parent Payer? It would be = best to create an authorization for 12/3-12/31 to bill them 2 hours per d= ay while the third hour gets billed to the client's private pay account. = =0D =0D For 1/1/26 onwards, we can create an authorization to bill Green Shield = 3 hours per day. =0D =0D In order to do this, we need the official authorization/agreement with G= reen Shield stating this coverage. We also need them to include their bil= ling information on how to invoice them and who to reach out to for payme= nt. =0D =0D Do you know how Green Shield will be paying us? =0D =0D It might be best to hold off on the invoicing until we can create Green = Shield as a Parent Payer with an authorization, so we can bill them the a= ppropriate

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