Submit medical claims to provinces other then Ontario (Except Quebec)

Why are there two province fields?

How do I bill a patient from Alberta?


That is a great question! *The answer below applies to HYPEMedical version 3 (HM33, 43 and 53).



There are two Province fields on both, the Claim Details and Edit Patient forms:

  1. The Province field next to the Validate button and health card number belongs to the province that issued the patient's health card.
  2. The second province field belongs to the patient's place of residency, temporarily in Ontario or elsewhere.





OHIP will broker claims to patients from other provinces on your behalf (Quebec is the exception - for Quebec billing, HYPEMedical has a paper form). 
Creating an Alberta (or other province or territory) claim is similar to a regular OHIP claim. Claim Type must be RMB instead of the most commonly used, HCP - P.


*In HYPEMedical versions 1 and 2 the province field always refers to the province that issued the the health card.


    • Related Articles

    • Could I get instructions on how to get a report of all the out of province claims from April 2022- March 2023?

      This question is a great example to demonstrate Billing Cycle's utility! Billing Cycle is HYPEMedical's billing search engine. Users can form searches using any claim parameter(s). OK. Let's look for all Out of Province claims (Claim type RMB as ...

    • Can I delete a duplicate OHIP/medical claim in HYPEMedical?

      Yes, you can; If your user account has the ClaimDelete permission. A duplicate claim occurs when at least one service code for the same service date and health card number exists on two separate claims. Duplicate claims are sometimes allowed in ...

    • How do I bill OHIP?

      Billing OHIP: Click the Claims button in the main menu, search for a patient, and hit Enter. Enter Service codes, and hit Enter. Search or create the next patient, hit Enter, and Go to step #1. Saving a claim for a new patient will also automatically ...

    • How do I delete an OHIP Claim?

      I billed the wrong patient, how do I delete that OHIP claim if I have already created a newer OHIP claim with the right patient? In HYPEMedical, claim deletion is available in the three places where you would normally search for a claim: The Claim ...

    • What outcomes can I expect for my claim submission to OHIP?

      There are four possible outcomes or scenarios: The Four Scenarios Most OHIP claims follow the ideal billing flow shown in the rightmost flow chart (Best Scenario). In the "Best Scenario" a Claim is entered and saved to the UNSUBMITTED status, then ...