Downloads

 

OHIP Downloads

 

General Software Downloads

 

QuickClaim Specific Downloads

Download QuickClaim

Update your QuickClaim copy with OHIP’s latest SOB (Schedule of Benefits) file:

  1. Download the latest SOB zip file
  2. Extract the zip file
  3. Update Quickclaim with the extracted SOB zip file

 

A note (April 11th, 2022) on the currently available SOB Document:

The Health Insurance Act (January 24, 2022 (Effective November 1, 2021)) is the most recent copy available. It does not include the latest SOB rates.
The new SOB’s updated fees can be down loaded from the MOHLTC links below:

The actual bulletin is downloadable from https://www.health.gov.on.ca/en/pro/programs/ohip/bulletins/redux/bul220401.aspx


 

A note about billing K083A – $5.00 vs. $5.10:

For example, an internal medicine physician providing the service of A133 Medical Specific Assessment with a Schedule listed price of $79.85 by video/telephone prior to April 1, 2022 would bill 16 units of K083 at $5 per unit ($80).

A physician providing the service of A133 by video/telephone after April 1, 2022 would bill 16 units of K083 at $5.10 per unit ($81.60) to receive the 2.01% increase.

The increase is paid as a unit price change, therefore the number of units billed before and after April 1, 2022 should remain the same.

Effective Oct. 1st 2021 K300A or K301A must accompany K083A . . . . Read more

A note about new OTN billing:

Doctors providing OTN services can continue to do so. Keep in mind that the OTN service codes were replaced effective April 1st with two new tracking codes. Bulletin 4750.

B103A:
$0.00 Hosted video visit – patient attending at a patient host site

Synchronous video visits with a patient who is physically located and supported at a patient host site during the clinical encounter.

B203A:
$0.00 Direct-to-Patient Video Visit

Synchronous video visits with a patient in the home or another location of their choice (i.e. the patient is not at a patient host site).


 

 

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