Ontario Billing Assistance

Guides to billing to the Ontario Health Insurance Program (OHIP) with ClinicAid. Specific questions about common errors, specialized billing, and other special situation. Also includes Ontario cutoff dates and remittance periods.

OHIP cutoff dates and remittance periods
The OHIP (Ontario Health Insurance Program) billing cycle for physicians happens once per month.  The official cut-off for claims processing is genera...
Tue, 18 Aug, 2015 at 1:06 PM
2015 OHIP Cutoff dates
  Here is the cut-off schedule for EDT/MC EDT claim submissions for 2015. January 19th, 2015 February 18th, 2015 March 18th, 2015 April 20t...
Tue, 18 Aug, 2015 at 1:15 PM
Rejection Error Code DF - Corresponding fee code has not been claimed or was approved at zero
 May see on an additional calculation code such as E083A if the code it is intended to modify has not been paid, claimed for the same date, or even claimed ...
Thu, 10 Sep, 2015 at 10:56 AM
Billing More than 99 Anesthesia Units
The Ontario billing system was designed to only accept 2 digits for the quantity, meaning a service with over 99 units needs to be separated into two cl...
Tue, 19 Jul, 2016 at 10:21 AM
How do I submit an RAI to send in updates to a claim?
  If you feel you were assessed incorrectly on any items appearing on your Remittance Advice or would like to make updates to a claim previously submitted,...
Mon, 7 May, 2018 at 1:30 PM
How to submit a claim for the Cumulative Preventive Care Bonus
To setup an invoice to claim your Cumulative Preventive Care Bonus, you need to submit with the March 31st service date of the year you wish to claim with a...
Tue, 26 Apr, 2016 at 1:04 PM
Ontario - Is gender required on my invoices?
If you're submitting to HCP or WCB, you do not need the patient's gender, it is only required for out of province RMB invoices.
Thu, 12 Jan, 2017 at 3:29 PM
What does a rejection code ET1 mean?
If you have billed for Telemedicine and you receive a rejection with error code ET1, it means that you have not registered with the Ontario Telemedicine Net...
Mon, 20 Mar, 2017 at 2:27 PM
How do I submit a stale claim?
In Ontario you have 6 months from the service date to submit your claims. Claims will not be accepted for payment unless there are extenuating circumstances...
Mon, 20 Mar, 2017 at 2:14 PM