Updating QuickClaim with OHIP's NEW Fee Schedule Master
Updating QuickClaim with a new SOB (Schedule of Benefits)
- The April 1, 2026 SOB file wont be available, on the ministry's website, until April 10, 2026.
- 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!
Until then, you may either hold off on billing or bill using the old fees - OHIP will pay the correct amount.
Read more...
*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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