Resources for Ontario Physicians.
At Hype Systems Inc., we're proud to offer Ontario's most comprehensive and efficient online billing software interface. While we've automated numerous mundane tasks related to claim entry and processing, there are OHIP billing requirements that demand expert interpretation. The specialty-specific OHIP billing literature links below are some of the essential reference guides for successful billing practices.
The latest Schedule of Benefits (SOB / Payment Rules):
QuickClaim Users:
The April 1, 2026 schedule of benefits (SOB) file is available for download here.
QuickClaim users! Update your QuickClaim desktop application.
The April 1, 2026 schedule of benefits (SOB) file is available for download here.
QuickClaim users! Update your QuickClaim desktop application.
More . . .
The current and previous service fees are available in HYPEMedical, along with descriptions of the fees and error codes
as well as automated billing guidance alerts.
Choosing between the old and new SOB fees
Service code search
Related Articles
Updating QuickClaim with OHIP's NEW Fee Schedule Master (SOB)
Updating QuickClaim with a new SOB (Schedule of Benefits) Step-by-Step Instructions: The April 1, 2026 SOB file is now available for download. Unzip the downloaded file. ...Breaking News: Schedule of Benefits Update — April 1, 2026
NEW Schedule of Benefits SOB Update — April 10, 2026 QuickClaim Users The April 1, 2026 schedule of benefits (SOB) file is now available for download [click here to download]. QuickClaim users can upload the file [click here for instructions] into ...How to Check OHIP Fee Relativity Rate Increases on Your RA After April 1, 2026
Quick Answer Bill OHIP the normal way using the the fee codes as they are. Then check your RA to see whether the payment equals the SOB rate plus the increase for your specialty. For example: For many family doctors in the FFS group (00_2), the ...OHIP Diagnostic Codes and Descriptions
OHIP Diagnostic Codes and Descriptions OHIP diagnostic codes identify the diagnosis, condition, symptom or reason associated with an insured service submitted on an Ontario Health Insurance Plan claim. Use this article to search for a three-digit or ...OHIP Emergency Department Physician Billing (EM) — H-Codes, Consultations, Critical Care, Premiums & After-Hours
Summary / Description: Use this article to bill Emergency Department physician services under OHIP. It covers time-of-day H-assessment codes, Emergency Medicine consultations, critical care, special visit premiums, ambulance detention, ...