The OHIP Schedule of Benefits Under the fee-for-service model, Ontario physicians must submit ‘invoices’ of who they saw and what they did through the medical claims electronic data transfer (MC EDT) system. To be reimbursed through OHIP for any healthcare services provided, a claim has to be submitted with the appropriate “Fee Schedule Code” along with the patient’s information. Each fee code corresponds to a specific dollar amount. For example, if you’re a GP and you see a patient for a visit you can submit a claim with the fee code A005 (Consultation). This fee code has a value of $77.20, which is how much OHIP would reimburse you for. Sadly, the Ministry of Health’s schedule of benefits is about 750 pages long and lists over 6,000 services – which makes finding the right code extremely tedious! To make things easier for you, we’ve created a searchable database of OHIP fee codes so you can quickly find the OHIP fees for your specialty. To get started, search by speciality, code or keyword: Schedule of Benefits Searchable Database Or choose your specialty: Anaesthesia Cardiac surgery Cardiology Clinical immunology Community medicine Dermatology Diagnostic radiology Emergency medicine Endocrinology & metabolism Family practice & practice in general Gastroenterology General surgery General thoracic surgery Genetics Geriatrics Haematology Infectious disease Internal and occupational medicine Laboratory medicine Medical oncology Nephrology Neurology Neurosurgery Nuclear medicine Obstetrics and gynaecology Ophthalmology Orthopaedic surgery Otolaryngology Paediatrics Physical medicine & rehabilitation Plastic surgery Psychiatry Radiation oncology Respiratory disease Rheumatology Urology Vascular surgery .dropdown { display: inline-block;}.dropdown-content { background-color: #f9f9f9; min-width: 160px; box-shadow: 0px 8px 16px 0px rgba(0,0,0,0.2);}.dropdown-content a { color: black; padding: 12px 16px; text-decoration: none; display: block;}.dropdown-content a:hover {background-color: #f1f1f1} Other OHIP Billing Resources Submission Deadlines Cut-off dates for MC EDT claim submissions for 2017/2018. Error Report Rejection Codes A searchable list of error codes along with descriptions. Want to maximize your earnings? New to Ontario Billing? Check out our Ultimate OHIP Billing Guide that takes you through every step for billing successfully in Ontario. Master Ohip Billing This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates. Related posts: How to Avoid Common OHIP Billing Mistakes OHIP extends temporary payments for Selected Premiums and Management Fees Retroactive Increases to Physician Laboratory Fees An OHIP Expert in Your Pocket Find codes and bill premiums with a tap. Get a $150 Credit when you sign up for Dr.Bill*. *Terms and conditions apply. . GET STARTED
1/* When you sign up for the Comprehensive Plan (fee of 1.95% of paid claims per billing cycle) with Dr.Bill you will receive a $150 billing credit (“Billing Credit”) to be applied to future Dr.Bill fees ( “Offer”). Offer is only available to new Dr.Bill users and can only be used once. Billing Credit cannot be converted to cash. If you cancel your Dr.Bill account or switch to the Essentials Plan at any time before the Billing Credit balance has reached $0, you will forfeit the balance of the Billing Credit. Offer cannot be applied retroactively and may not be combined or used in conjunction with any other Dr.Bill offer. Offer is only available in provinces where Dr.Bill operates. Offer may be amended or withdrawn at any time without notice. 2Up to $7,500 in billings free refers to the maximum amount of billings with a fee rate of 1.95% of paid claims that the $150 billing credit would cover in full. You will be charged for any additional services requested outside of the Comprehensive plan.
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