Ontario Billing Assistance

Guides to billing to the Ontario Health Insurance Program (OHIP) with ClinicAid. Specific questions about common errors, specialized billing, and other special situation. Also includes Ontario cutoff dates and remittance periods.

Ontario - Is gender required on my invoices?
If you're submitting to HCP or WCB, you do not need the patient's gender, it is only required for out of province RMB invoices.
Thu, 12 Jan, 2017 at 3:29 PM
How do I submit a stale claim?
In Ontario, you have 3 months from the service date to submit your claims. Claims will not be accepted for payment unless there are extenuating circumstance...
Wed, 5 Jul, 2023 at 10:44 AM
How to submit for an OOP referral
If you are submitting a claim for an out-of-province patient that is also a referral you will need to flag your claim for a Manual review and fax any suppor...
Thu, 13 Jan, 2022 at 10:10 AM
Ontario: How to bill an Out Of Province claim
You can bill an out of province (OOP) or reciprocal claims through ClinicAid.  Residents of all the Canadian provinces and territories (except Quebec) are ...
Thu, 9 Jun, 2022 at 2:27 PM
Ontario Remittance Advise List
OHIP cut off for claim submissions is the 18th of every month (this is a soft cut off and as a courtesy OHIP may process claims beyond this date if have tim...
Mon, 7 Mar, 2022 at 1:51 PM
Ontario Advanced Invoice Creation
Submitting Support Documentation: In Ontario you can submit your claims for a manual review, this sometimes is necessary when you are submitting support...
Mon, 21 Nov, 2022 at 11:53 AM
Setting up your Provider Record in Ontario
The first thing you’ll need to do in order to complete your account setup is to create a provider record for each of the physicians that the billing will...
Mon, 28 Feb, 2022 at 2:26 PM
Ontario Worksafe WISB claims
To submit WISB claims follow these steps: In ClinicAid, go to the “Create Invoice” section in the left hand menu. Go to the ‘Advanced’ tab an...
Tue, 3 May, 2022 at 4:52 PM
Ontario: How to fix a rejected Out Of Province claim
How to fix a rejected Out Of Province claim: To fix a rejected out of province claim is a two-step process. First update the patient record and then rel...
Thu, 9 Jun, 2022 at 12:36 PM
Facility Type Descriptions
Visit Locations in Ontario are listed in the following way:  By the facility Type (2 letters) The City in which it's located The Master Number (in b...
Fri, 6 Jan, 2023 at 11:55 AM