Updating QuickClaim with OHIP's NEW Fee Schedule Master

Updating QuickClaim with OHIP's NEW Fee Schedule Master

Updating QuickClaim with a new SOB (Schedule of Benefits)

Step-by-Step Instructions:
  1. The Ministry’s updated Fee Schedule Master is available for download Here.  From April 1, 2025 onward a new SOB has come into effect ending the 9.95% payment increase which was effective January 1, 2025 to March 31, 2025.*

  2. WarningUNZIP the downloaded SOB file. Please note that the sob file is only meant to be readable by billing software. Do not open the file after you unzip it.

  3. Open QuickClaim
  4. On QuickClaim's Main Menu click on the Codes icon
  5. Click on Have Disk
  6. Browse (to the unzipped SOB file) 

  7. Click on the file to select it
  8. Click Open
  9. Click Start and QuickClaim will start processing the new SOBWhen it's done, click 'OK.'
    You're done!


*Heads‑Up: The Q1 2025 OHIP Fees “Bump” Ends March 31

Back in December the ministry’s INFOBulletin 241204 announced a temporary 9.95 % across‑the‑board top‑up—on top of the existing 2.8 % Year‑3 Physician Services Agreement (PSA) increase—covering services rendered January 1‑March 31, 2025. That double‑boost meant your fee‑for‑service and technical codes were paid at about 13 % above the 2021 baseline for the first quarter.

What happens after March 31?

The 9.95 % uplift disappears. From April 1 onward, claims will be paid at the regular PSA Year‑3 level (≈ 2.8 % above the 2021 baseline). In real‑world terms:

Period

Effective increase vs 2021 baseline

Change compared with Q1 2025

1 Jan – 31 Mar 2025

≈ 13.0 %

1 Apr 2025 →

≈ 2.8 %

≈ 9 % lower (10.2 percentagepoints)

 So expect your post‑March claims to settle about 9% lower than the Q1 monthly payments you just received. 

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