Appendix 1.13 - Responsibility for Payment Codes

Code

Description

01

Provincial/territorial responsibility

Residents of province/territory covered under the provincial/territorial health care plan.

02

Workers’ Compensation Board/Workplace Safety and Insurance Board (WCB/WSIB), Workers’ Service Insurance Board or equivalent

Covered by the workers' compensation board (or equivalent), regardless of the province or jurisdiction.

03

Other province/territory (resident of Canada)

A non-resident of the province in which health services are delivered, but a resident of another province/territory whose payment is covered by another provincial plan. Includes new residents to the province who are still covered by the health care plan of the province/territory from which they came.

04

Veterans Affairs Canada (VAC)

Covered by Veterans Affairs Canada, including veterans hospitalized for recognized service-related conditions.

05

First Nations and Inuit Health Branch

Includes status Indians and Inuit whose services are specifically covered by the FNIHB under Indigenous Services Canada; may also include other health programs for First Nations and Inuit.

07

Canadian resident self-pay

Resident is responsible for payment via personal resources.

08

Other country resident self-pay

Resident is from another country and manages own payment.

09

Canadian resident private insurance pay

Resident’s private insurance is responsible for payment.

10

Canadian resident public trustee pay

Resident's public trustee is responsible for payment.

11

Other provincially defined

Responsibility for payment as defined by the province/territory.

12

Correctional Service Canada (CSC)

Inmate in a federal correctional system.

13

Department of National Defence (DND)

Current member of the Canadian Armed Forces (CAF).

14

Immigration, Refugees and Citizenship Canada (IRCC)

Protected person, including resettled refugee; refugee claimant; and certain other group who aren’t eligible for provincial or territorial health insurance.