The Audit and Claims Integrity Division ensures that public health care funds are distributed appropriately to health care providers for services provided to beneficiaries of the Medical Care Plan (MCP) and the Dental Health Plan. This includes managing and/or administering:

• the MCP including the auditing of physician claims;
• eligibility and registration services for MCP;
• the Dental Health Plan, including the auditing of dentist claims;
• audit services for the department;
• the Inter-Provincial Reciprocal Billing Agreement and the Eligibility and Portability Agreement related to Newfoundland and Labrador residents accessing health services in other provinces, and other Canadian residents accessing health services in Newfoundland and Labrador; and,
• the identification of medical and hospital expenses incurred by residents due to negligence of a third party.

For more information regarding MCP please visit:
Medical Care Plan (MCP)

Contact Information

Audit and Claims Integrity Division
P.O. Box 8700
St. John’s, NL A1B 4J6
Toll–Free: 800–563–4199
Tel: (709) 758–1566
Fax: (709) 758–1691
Toll–Free Fax: 866–819–3052

Please note: The content on this page may not be current or comprehensive and is subject to change without notice.