Here are five common OHIP billing mistakes and how to avoid them.
1. Missed Billing Cut-off Dates
OHIP cut-off dates in Ontario can cause payment delays or lost revenue if missed. Mark your calendar to ensure timely submissions every month and avoid unnecessary financial setbacks. What are the billing cut-off dates for OHIP in Ontario?
2. OHIP Error Code – EH2: Invalid Version Code
An invalid version code error can halt your claims. Double-check patient information and update the version codes regularly to avoid this costly mistake.
3. VJ7/VJ8 Error Codes: Stale Dated Claims
Stale dated claims result in rejections and delays. Submit claims on time—preferably daily or weekly—to keep everything up to date. Utilize tools like Health Card Validation for easy submission and quick error handling. Learn more about stale dated claims
4. How Often Should You Submit OHIP Claims?
While there’s no specific frequency requirement, submitting claims as soon as possible after services are rendered reduces the risk of errors and ensures faster payment. Remember, OHIP now has a 3-month submission deadline (down from 6 months). Find out how often you should submit OHIP claims
5. Maintain Good Documentation
Proper documentation of patient encounters is critical to supporting your billing codes. Avoid errors like “V16” (unacceptable diagnostic code) or “V21” (missing diagnostic code) by keeping accurate records to back up every claim.
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