Billing & Business

Policy governing communication, consent, charges, block fees and access to care when physicians bill uninsured services.

Applies to Ontario physicians; fee-setting should also follow applicable OMA guidance and law.

Electronic channel within MCEDT for submitting claims supporting documents and remittance advice inquiries.

Authorized MCEDT users automatically receive access; do not send unsupported PHI by ordinary email.

Secure Ministry service for submitting OHIP claims and receiving remittance advice, error and payment reports.

Registration and approved billing software or service arrangements are required.

Online information and application process for individual physician billing numbers, group registration and related payment setup.

Valid Ontario registration, practice address and banking information are required.

Ministry notices about billing, claims processing, fee-schedule changes, eligibility and operational updates.

Check current and prior-year bulletins when implementing a change.

Official schedules, fee codes and payment rules for insured physician and other practitioner services in Ontario.

Use the current schedule and applicable payment rules; updates may also be issued through INFOBulletins.

Member learning on OHIP billing, practice efficiency, privacy, legal considerations and starting, running or closing a practice.

OMA login/membership is required for most courses and materials.

Provider-facing directory covering billing agents, financial support, medical records, supplies, staffing and other practice vendors.

Vendor listings are informational and not endorsements; due diligence is required.