Update on Wait Times

nov 16 wait time update

A huge thank you to our members for their questions and feedback surrounding our wait time increases of 8-12 weeks for medical and travel reimbursements. Your patience and concerns have not gone unnoticed. Original Notice

The Department of Health and Wellness would like to provide an update on the measures taken to reduce wait times:

  • Additional external support has been provided for our Qalipu First Nation (QFN) NIHB Support Specialist Team to aid in relief of the ongoing wait times for member reimbursement.
  • The process flow for member claims is repeatedly updated at minimum on a quarterly basis under Quality Management System Auditing ISO 19011: 2018 and ISO 9001:2015 standards. However, the Qalipu Health and Wellness Team and Qalipu Finance Department are continually reflecting on improvements and changes to help meet the needs of our members more efficiently.
  • The seasonal fluctuations of claim trends and member health needs as it impacts volumes and processing times continues to be monitored.

Here are additional best practices for submitting your claim to help improve efficiencies and reduce delays in processing:

  • It is important to have a conversation with one of our NIHB Support Specialists to discuss your medical needs for your claim. This allows our Specialists to ensure that you are aware of all benefit coverage options which can be offered to you on a case-by-case basis.
  • Please submit your claims frequently as soon as you have your supporting documents available. This can help reduce the influx of new large claims toward the end of the calendar year.
  • Please ensure that all forms and required documents are included in your claim and that they are fully completed, reviewed, and signed. This can help prevent errors or incomplete claims which may result in your claim being returned with a request for document updates or additional information.

NIHB SUPPORT SPECIALIST
Natasha Lavers
709-634-5078
844-207-9718 (Medical Transportation Inquires Only)
nlavers@qalipu.ca

NIHB SUPPORT SPECIALIST
Jennifer Dufour
709-634-5069
jdufour@qalipu.ca

NIHB SUPPORT SPECIALIST
Bonnie White
709-634-5042
bonnie.white@qalipu.ca

NIHB SUPPORT SPECIALIST
Susan Bryan
709-679-2238
sbryan@qalipu.ca

NIHB NAVIGATOR
Howard Thistle
709-679-5743
855-675-5743 (NIHB Inquiries)
hthistle@qalipu.ca