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OHIP

Everything you need to know about using MDBilling.ca to maximize your OHIP claims can be found in this category.

Sophia Jarvi avatar
1 author310 articles

OHIP Billing Tip Library

OHIP Billing Tip #1 - Getting Started with MDBilling.ca
OHIP Billing Tip #2 - Claim Submission Process
OHIP Billing Tip #3 - Getting Help - Using MDBilling.ca Software
OHIP Billing Tip #4 - Resubmitting a Rejected Claim
OHIP Billing Tip #5 - Searching for Service or Diagnostic Codes
OHIP Billing Tip #6 - Deleting a Claim
OHIP Billing Tip #7 - MDBilling.ca Invoicing
OHIP Billing Tip #8 - Reconciliation - Payment Reports
OHIP Billing Tip #9 - Correcting OHIP Error Code EH2 - Version Code Rejection
OHIP Billing Tip #10 - Mobile app
OHIP Billing Tip #11 - My Patient List
OHIP Billing Tip #12 - Updating My Profile
OHIP Billing Tip #13 - Time Saving Tip - Multiple Service Dates
OHIP Billing Tip #14 - Manage Users
OHIP Billing Tip #15 - DIY Medical Billing Resources
OHIP Billing Tip #16 - Reconciliation - Unprocessed Claims
OHIP Billing Tip #17 - Time Saving Tips - Enable Last Service Date / Referring Physician / Diagnostic Code / Admission Date
OHIP Billing Tip #18 - Time Saving Tip - Universal Templates
OHIP Billing Tip #19 - Out of Province/Country Billing
OHIP Billing Tip #20 - Custom Facilities - Clinic and Outpatient Segmentation
OHIP Billing Tip #21 - Submitting an RA Inquiry
OHIP Billing Tip #22 - Manual Review
OHIP Billing Tip #23 - Group Billing
OHIP Billing Tip #24 - Forgot Password
OHIP Billing Tip #25 - Billing Profiles (Web Only)
OHIP Billing Tip #26 - Billing IQ
OHIP Billing Tip #27 - Import Claims Spreadsheet
OHIP Billing Tip #28 - Mobile App Data Sharing
OHIP Billing Tip #29 - Accounting Transactions - "Recovery - Automated Estimated Payment"
OHIP Billing Tip #30 - Billing in Multiple Specialties
OHIP Billing Tip #31 - Updating Banking Information with the Ministry
OHIP Billing Tip #32 - Adding New Referring Physician
OHIP Billing Tip #33 - Updating Credit Card Information
OHIP Billing Tip #34 - Stale Dated Claims
OHIP Billing Tip #35 - Finding OHIP Claims Assessor
OHIP Billing Tip #36 - Group vs Solo EDT Account
OHIP Billing Tip #37 - Go Secure Password Change
COVID Billing Tip #1 - Submitting Billings for Uninsured Patients during COVID-19
COVID Billing Tip #2 - Submitting Sessional Fee Schedule Codes (H409 / H410)

OHIP Rejection Code Library

VTC - Virtual Tech Code Required
A2A - Patient is underage or overage for this service code
A2B – This service is not normally performed for this sex
A3F – No fee exists for this service code on this date of service
A34 - Duplicate service codes submitted
A36 - Claimed by Other Practitioner
A3E - No such service code for date of service
A3H - Max # Ser FSM Ref MC
A4D - Invalid specialty for this service code
AC1 - Rejection (AC1 Error) - Maximum reached
AC4 / ARF - Invalid Referral Number
AD1 / AD9 - Corresponding procedure not claimed/Premium not allowed alone
AD5 - Service code only allowed once per patient per day
ADF/DF - Corresponding procedure invalid, omitted or paid at zero
AH5 - Invalid hospital admission date
AH8 - Hospital and/or Admission Date is missing or invalid
ASP - Not allowed with surgical procedure
VW1 – Invalid WCB Service
AH9 – Diagnostic/miscellaneous service for hospital patient is not allowed on a fee-for-service basis – included in the hospital global budget
Rejection - Incorrect District Code
AMR - Minimum service requirements have not been met
AO3 - Service claimed by another practitioner
CNA - Counselling not allowed
EG1 - Group not Eligible
EH1 – Service date is greater than eligibility end date
EH2 - Invalid Version Code
EH4/EH5 - OHIP Number Not Valid on Date of Service
EH6 - Patient deceased
ENP - Invalid service code for Nurse Practitioner referrals
EP3 - Check Service Date / Enrolment Date
EPF - Enrollment Date Mismatch
EQ1- Health care provider is not registered
EQ2 - Specialty code is inactive or not registered on date of service
EQB - Inactive provider billing number
EQC - Group number is not registered
EQD - Group number is not registered
EQE - Healthcare provider not registered as an affiliate of group
EQF - Healthcare provider is not ACTIVELY registered
EQG - Referring laboratory is not registered with the Ministry of Health
ERF / EQ6 - Inactive or invalid referring physician
ESD – APP Group Affiliation on Service Date
ESF – A non-encounter service claim submitted by a physician not eligible to bill FSC codes
ET1 - Provider Not Registered for Virtual Care Program
ET4 - Virtual Care Program B-Code Missing or SLI Code Invalid
ET5 - Virtual Care Program SLI Code Missing
HCC - Not on Health Care Connect (HCC) database
HCE - HCE Enrolment After 3 months
R02 / R03 - Reciprocal Medical Billing Error
R08 - Invalid referral number
TM1 - Duplicate Virtual Care Claim for Same Patient
TM3 - Service Not Payable Under Virtual Care Program
TM4 - Non-Virtual Care Claim Already Paid for This Patient
TM6 - Virtual Care Program Registration Not in Effect on Service Date
TM5 - Virtual Care Claim Already Paid for This Patient
TM7 - Dental Services Not Payable Under Virtual Care Program
V08 - Invalid specialty code
V09 - Invalid referral number
V16 - Unacceptable Diagnostic Code
V21 - Diagnostic Code Required
V22 - Invalid diagnostic code
V23 - Check no. of services
V28 – Invalid Hospital Number
V30 - FSC / DX code Combination NAB
V35 - Invalid OOP/OOC Service
V39 - Number of items exceeds the maximum (99)
V64 – Missing Service Location Indicator (SLI)
V65 - Missing master number
V66 – Missing Admission Date
V67 – Missing master number and admission date
V68 - Incorrect Service Location Indicator
V69 – Service date invalid for SLI
V70 - Date of service is greater than the batch/file creation date
VH1 / VH4/ VH9 - OHIP number not valid
VH2 – HN is Missing
VH8 - No match on DOB with HN
VHB - No HN Req’d for FSC
VJ7/VJ8 - Stale dated claim

Software - "How to"

How to Delete Your MDBilling Account on Mobile App (iOS / Android)
Quick Add and Save Claims
How to Clear the Mobile App Data (Android)
Bulk Change
Mobile App - Data Sharing
How to Find New Service Code on Mobile App
Hospitalist Premiums (17%) - Service Code Count
How to Edit A Claim on Mobile App
Generate Payment Reports for Multiple Physicians (for Billing Agents)
What is a Patient Database?
What to do if Health Card Validation (HCV) is Offline
Manage your OHIP Payments from the Ministry of Health (MoH)
Revenue Report by Location or Shift
Tax Report
How to Generate An Outside Use Report
Add or Remove Physicians (Billing Agent)
How to Change Default Specialty
Difference between "Add Service and Submit (F11)" versus "Save and Submit (F12)"
Compensation Increase Report
How to Select The Service Location Indicator (SLI)
Time Unit Entry for Surgical Assistant Codes
How to Modify Referring Physician using Mobile App
How To Get Report And Sort Service Codes?
How To Correct EH2 (version code) Rejection On Mobile App?
How To See Paid Claims Submitted Through Other Software
Manual Review & RA Inquiry Instructions
Billing Profiles
Billing Profiles for Billing Agents
Organize Your Favourite Medical Billing Codes
How to Submit WSIB Billings
Import Claims - Upload Errors
Uploading Excel Spreadsheet
Reading Reports from Your Billing Agent
Automatic Percentage Premium Matching
Same Patient and Same Code Regular Billings
How to Edit Unsubmitted Claims
How Do I Find The Payment Date
Entering Claims with Spreadsheet Template
Finding Referring Physician
How to filter by diagnostic codes
What does "Unsubmitted" mean?
How to Enter Code E676B
Fixing version code
Service Code Correct Format (A, B, C Suffixes)
Service Date Report For Paid/Adjusted Payment Claims
How To See All Service Code For One Patient
Printing Reports
Finding Out How Many Of A Certain Service Code Submitted
How do I find the surgical assistant's codes
How To Bill Percentage Premiums
Physician Billing Number Not Found
Generating Daily Billing Report
Preventive Care Bonus - Q code, no patient
How To Retrieve Past Invoices?
How To Bill With Subspecialty
Premiums For MRP Subsequent Visits
Billing Codes - Twin Baby Delivery
How to verify and bill out of province health insurance?
Anesthesia Time Unit
How To Submit All Claims At Once
How to Submit Virtual Care Program (OTN) Billings
Name Change
Double Claims Uploaded
How To Delete A Patient Profile
How To Submit Physiotherapy Service Code V847A
Where To Find The Import Claims Spreadsheet
How to Edit A Claim on the Web Portal
Facility Codes
Updating a patient's health card version code
Tax Slips for Doctors
Admit Date For Outpatient
Entering Age-Based Premiums
How to Fix a Submitted Billing Error
How Do I Get Rejected Reports That Are Submitted Outside MDBilling?
How to Archive a Rejected Claim
Changing Version Code for Submitted Claim
How to Submit a Cancelled Case
Archived a Claim by Mistake
Entering Percentage Premium Code
How Often Claims Are Submitted To MoH?
How to fix time unit calculation error
Can I Write Off A Claim?
Billing The Same Code on The Same Day for All patients
Deleting A Duplicate Claim
Submitting Same Code for Multiple Days
Anesthesia Codes - ASA - Favourite Codes
How To Find My Clinic To Facility List
What to Do If I Submitted A Wrong Service Code
Referring Physician and Diagnostic Code Selection
Diagnostic Codes for Psychiatry
Outpatient Clinic Billing - No Facility