Increases by Fee Schedule Code – Physician Services Ministry of Health April 1, 2024

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.

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"Physicians are responsible for understanding and complying with payment requirements for any and all claims submitted to OHIP using their billing number." 


Alert

The latest Schedule of Benefits (SOB / Payment Rules): Physician Services Under the Health Insurance Act (PDF) - effective March 3, 2025

All HYPEMedical OHIP billing servers were updated to incorporate the new fees by the afternoon of April 4th, 2025.

QuickClaim Users: the updated SOB.zip file is now accessible for download. Instructions for updating QuickClaim are available via a knowledge base article linked here.



More . . .
There are many more helpful guides to everything OHIP. Check out: https://www.ontario.ca/document/resources-for-physicians


The current and previous service fees are available in HYPEMedical, along with descriptions of the fees and error codes
as well as automated guidance alerts.