Updating QuickClaim with OHIP's NEW Fee Schedule Master
Updating QuickClaim with a new SOB (Schedule of Benefits)
- 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.*
- Unzip the downloaded file.
https://hypesystems.zohodesk.com/portal/en/kb/articles/how-do-i-unzip-a-file-in-ms-windows
UNZIP 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. - Open QuickClaim
- On QuickClaim's Main Menu click on the Codes icon
- Click on Have Disk
- Browse (to the unzipped SOB file)
- Click on the file to select it
- Click Open
- 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 percentage points) |
So expect your post‑March claims to settle about 9% lower than the Q1 monthly payments you just received.
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