How do I bill Quebec’s provincial insurance program?

How do I bill Quebec’s provincial insurance program?

There are two separate methods to print documents with HYPEMedical.

The first method will generate a complete invoice PDF in Quebec's proprietary format.

IdeaPDF Dynamic Generator: A complete claim, on a single PDF form per claim, scaled according to the number of services.
Save a "Quebec" claim as a third-party claim, and generate it after saving a claim (see image).

Mail the form to:

Régie de l’assurance maladie du Québec

Service de l’application des programmes (Q037)

Case postale 6600 Québec (Québec)G1K 7T3 




The second older option can be found in Patient Profile:

    1. Go to Patient Profile\Reports & Labels and click on Custom Templates. Choose the "QC_RMB_0000-80.pdf" template and click the Custom Templates button again.  
    2.  Add service codes to the populated patient and doctor fields and mail to:
      Régie de l’assurance maladie du Québec
      Service de l’application des programmes (Q037)
      Case postale 6600 Québec (Québec)G1K 7T3


  1. Custom Templates

Payment Rules:

The above form is necessary to bill Quebec patients as they are not covered under OHIP as RMB claimants.

The following services are excluded from RMB (but are not necessarily OHIP benefits) and should be billed directly to the non-resident patient (or to the non-resident’s home province/territory if prior approval has been granted by the home province/territory):

  • Surgery for alteration of appearance (cosmetic surgery)
  • Sex reassignment surgery
  • Surgery for reversal of sterilization
  • Routine periodic health examinations including routine eye examinations
  • In-vitro fertilization, artificial insemination
  • Lithotripsy for gall bladder stones
  • Treatment of port wine stains on other than the face or neck, regardless of the mode of treatment
  • Acupuncture, acupressure, transcutaneous electro-nerve stimulation (TENS),moxibustion, biofeedback, hypnotherapy
  • Services requested by a third party
  • Team conference(s)
  • Genetic screening and other genetic investigation, including DNA probes
  • Procedures still in the experimental/developmental phase
  • Anaesthetic services and surgical assistant services associated with all of the above
  • Services required by the Ministry of Community and Social Services and the Ministry of Attorney General or the Solicitor General
  • PET scans and Gamma Knife Radiosurgery
  • Telemedicine services
  • Services to persons covered by other agencies (e.g., Armed Forces, Workplace Safety and Insurance Board, Department of Veterans’ Affairs, Correctional Services of Canada [Federal penitentiaries])

*Originally published July 28, 2019