Updates to claim processing for E832, A/C073, A/C074, A/C071, and A078 The Ministry of Health and the Ontario Medical Association are implementing permanent adjustments to physician payments effective April 1, 2026, as part of the 2024 Physician Services Agreement...
An issue was identified on the August 2025 Remittance Advice (RA), where Paediatric Age Premiums were not paid or reported for claims assessed in July 2025 with service dates on or after July 1, 2024. This may have resulted in incorrect recoveries and negative...
The ministry is introducing one new diagnostic code and one explanatory code Effective September 1, 2023, one new diagnostic code and one new explanatory code have been created for the new optometry appropriateness changes. New diagnostic code and descriptions 976...
OHIP billing is an essential component of the healthcare system in Ontario. It allows healthcare providers to submit claims for services rendered to patients, enabling them to receive payment from the government. However, many providers face issues with stale-dated...
New: Physician Services Agreement initiatives effective April 1, 2023 The Ministry of Health (‘the Ministry’) and the Ontario Medical Association (OMA) have been working together to implement physician compensation changes agreed to under the 2021 Physicians Services...
