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Ministry Status: Routine Monitoring and Engagement

Ontario Health Insurance Plan

OHIP Bulletins


Keeping Health Care Providers informed of payment, policy or program changes

Midwife Services InfoBulletins

To:  All health care providers

Published by:  Claims Services Branch

Date Issued:  January 19, 2017

Bulletin Number:  1047

Re:  Electronic Submission of Supporting Documentation and Remittance Advice Inquiries

Posted Electronically Only

PDF Version Portable Document Format | 124 Kb

Claims Services Branch is pleased to announce that eSubmit, a new, secure electronic channel for submitting documents containing personal health information to the ministry, is now available.

Starting February 1, 2017, the first phase of eSubmit will allow health care providers to electronically submit a remittance advice inquiry or supporting documentation, such as operative reports, consult report/notes, etc. required to adjudicate complex claims.

Please note that at this time eSubmit cannot be used to submit documentation automatically using software such as Electronic Medical Record (EMR). Health care providers that submit large volumes of supporting documentation or remittance advice inquiries may find that this phase of eSubmit may not align with their current business processes. The ministry will be reaching out to high volume submitters as well as software vendors to discuss options for using eSubmit.

The eSubmit service is accessed using GO Secure in the same way you log in to access the Medical Claims Electronic Data Transfer (MCEDT) web page. If you are registered for MCEDT, you and your designates will automatically have access to eSubmit.

Once logged in using GO Secure, you can select the eSubmit link, complete an online form and attach your documentation.

For a supporting documentation submission you can attach up to 10 documents for a single submission. There is a maximum file size of 5MB for each attachment and there must be at least one attachment in order to submit.

Remittance Advice inquiries do not require an attachment but a separate submission is required for each claim and there is a maximum of 10 items per claim.

An email address is requested on the eSubmit form in order to send a confirmation email with a ticket number assigned to the submission. This ticket number should be referenced if you want to inquire about the status of your submission.

Remittance advice inquiry responses and requests for additional information contain personal health information and cannot be sent via email. They will be sent using the secure MCEDT generic communications function and can be accessed from the MCEDT download screen. They will have a file type of GCM and a subject of General Communications.

They will be posted with the following file name standard:

Remittance Advice Inquiry Response RAIxxxxxxxxx_xxxxxx.pdf
Additional Information Request ADDxxxxxxxx_xxxxxx.pdf

The numbers after the first three characters will be the provider billing number (group number if a group and solo number if a solo) followed by the ticket number.

Downloading of these documents from MCEDT can be automated using EMR software. Contact your vendor to inquire about using their software to automatically download the documentation.

Detailed instructions and tip sheets for using eSubmit will be available on the ministry’s website in early February.

If you encounter any issues using the eSubmit service, please contact the Service Support Contact Centre at 1-800-262-6524 or SSContactCentre.MOH@ontario.ca

To view Portable Document Format PDF files, you will need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe website.

For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free)
In Toronto, (416) 314-5518
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
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