The terms and definitions defined below are relevant to MCE-WS integration. This glossary should be reviewed alongside the information contained in the MCE-WS Integration Requirements Specification document and the MCE-WS Portal to support the EMR vendor’s understanding of MCE-WS integration.

Term	Definition
AHEP	After Hours Emergency Premium.
BPM	Blended Payment Model.
Broadcast	Broadcast refers to the MCE application’s capability that enables the Medicare system to communicate key information via the MCE-WS functionality.
Claim	A service provider submits a claim to Medicare to bill for an entitled service rendered to an individual.
Date of Service	The date that the entitled service was provided for a Medicare claim.
EMR	Electronic Medical Record. Refers to any EMR or third-party billing software integrating with MCE.
EMR User	Any end user of an EMR with various access privileges.
FFS	Fee-for-Service.
FMNB	Family Medicine New Brunswick.
FMNB Group	Refers to a primary health care group of providers who are participating in FMNB and are associated to one another in the same group.
FMNB Provider	Refers to a primary health care provider who is participating in FMNB.
MCE	Medicare Claims Entry.
MCE Claim Number	This is the claim number issued by MCE when the claim has no errors and is successfully submitted to MCE for processing by the Medicare system. The claim receipt document returns the MCE claim number to the EMR.
MCE-WS	Medicare Claims Entry Web Services. Refers to the web service interface to the MCE system, used by EMRs to submit claims to MCE and access billing and payment-related services (claim submission, rostering, reconciliation, ODG).
NB Medicare Number	The unique health care number assigned to an entitled individual in New Brunswick under the regulations of the Medical Services Payment Act, and used to bill Medicare for entitled services rendered to the individual.
New Brunswick Physicians’ Manual	Contains details of the negotiated services and fees for medical services payable by the Medicare system (English version; French version).
ODG	Open Data Gateway. All data that drives claim submission and calculations reside in the ODG tables.
OOP	Out-of-Province. A patient who has active Provincial Health Care coverage by another province/territory of Canada other than New Brunswick and Quebec.
Org ID	The unique identifier of an EMR container (instance) in NB. This ID is issued from the DH Registries group and is stored in the location registry. Synonymous with EMR ID.
Provider	Refers to a service provider or practitioner (as defined in the Medical Services Payment Act) who can submit claims to Medicare in accordance with the New Brunswick Physicians’ Manual.
Resident	An individual lawfully entitled to be or to remain in Canada, who makes their home and is ordinarily present in New Brunswick, but does not include a tourist, transient or visitor to the Province.
Roster	A roster of patients is a grouping of patients formally attached (“rostered”) to a particular provider.
Roster Status	A status applied to a patient who is formally attached to a provider’s roster. It reflects the patient’s current participation in the roster of their provider (e.g., one patient may have a roster status of “Rostered”, while another has a roster status of “Roster Exception”).
Roster Registry	A provider roster registry in Medicare that contains the list of patients attached to a particular provider, including all of their patient roster data and history.
Salaried	Salaried providers are paid salaries for delivering entitled services. Salaried providers are required to “shadow bill” rendered entitled services to Medicare.
Service Code	A code that identifies an entitled service that can be claimed for an individual. The list of service codes for New Brunswick are identified in the New Brunswick Physicians’ Manual.
Shadow Bill	A claim for an entitled service rendered, typically by a Salaried service provider, and claimed at a $0 value solely for reporting purposes with Medicare.
TPP	Transitional Payment Plan.