Clinic Name

Fill out this field, if you work with a group of other practitioners such as a clinic or hospital that obtained its individual billing number. Then, you can designate that group to receive your MSP fee-for-service payments.

If you work solo and do not have a clinic, Clinic Name will be filled out automatically with N/A.

To change Clinic Name, see Change Clinic Info.

Note that so far Clinic Name field is for your reference only and is not available for submitting to MSP Teleplan yet because it is not provided for in Teleplan electronic protocol. However, we recommend that you keep this information up-dated so that it can be adequately reflected should any changes in protocol occur.