Telehealth services are health services provided by a physician over live video instead of in-person. This can help reduce travel, wait times and scheduling conflicts.
The Ontario Telemedicine Network (OTN) recorded over 600,000 telemedicine events in 2015, a 34% increase over the previous year.
Physicians in Ontario can submit claims for telemedicine consultations to the Ontario Health Insurance Plan (OHIP). They will be reimbursed by the OTN, the government-funded non-profit that was created to expand the use of telemedicine across the province.
How to bill for telemedicine services
To bill OHIP for telemedicine claims, a physician first has to register as a “telemedicine physician”.
To register, complete this form and submit it to OTN.
You will then receive a Registration Acknowledgement Letter with more information – and at that point you’re ready to bill!
When submitting claims for the services you provide, your location should be designated as ‘Ontario Telemedicine Network’.
There are OHIP fee codes that aren’t eligible for telemedicine services. These are noted in the schedule of medical benefits.
Premium telemedicine billing codes
In addition to the regular service code, you can submit a premium billing code as compensation for providing telemedicine services. These are listed below:
B100A – First Telemedicine Patient Encounter premium
B101A – First Cancelled/Missed Telemedicine Patient Encounter premium
B102A – First Technical Difficulties Abandoned Patient Encounter premium
B200A – Subsequent Telemedicine Patient Encounter premium
B201A – Subsequent Missed/Cancelled Telemedicine Patient Encounter premium
B202A – Subsequent Technical Difficulties Abandoned Patient Encounter premium
Again, when submitting these codes your location should be set to ‘Ontario Telemedicine Network’.
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.
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.
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