OHIP claim submissions run on a monthly cycle. All claims you submit until the 18th of each month will be processed for payment by the 15th of the next month.
When the 18th falls on a weekend or holiday, the deadline will be on the next business day. Claims received after the 18th of the month might get processed by the end of the month.
Make sure the information on claims is correct – errors will slow the process and cause rejections. If a claim gets flagged for manual review, your payment for the claim may be delayed.
It’s recommended that you submit your claims daily so that you never have an issue with deadlines. This is easy with a billing app like Dr.Bill.
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.
Search All OHIP Billing Codes
Search the Ontario Schedule of Medical Benefits electronically. We’ve digitized all the OHIP billing codes so you can easily find the most up to date billing rules and amounts.
