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Submitting Medical Claims Supporting Documentation or a Remittance Advice Inquiry electronically is now available through eSubmit

eSubmission of Medical Claims Supporting Documentation

This webpage is an introduction to the Electronic Submission of Supporting Documentation and Remittance Advice Inquiries service.

The eSubmit service provides a secure electronic channel for submitting documents containing personal health information to the ministry. This includes Remittance Advice Inquiries and supporting documentation; such as operative reports, consult report/notes, etc. required to adjudicate complex claims.

Access to the eSubmit service is through the Government of Ontario (GO) Secure. If you are registered for Medical Claims Electronic Data Transfer (MC EDT) you and your designates automatically have access to eSubmit. Once logged in, you can select the eSubmit link and complete an online form.

An email address is required on the input screen in order to send you 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.

Requests for additional information and responses to Remittance Advice Inquiries are sent to your MC EDT Communications Download page (the same place as your Remittance Advices and Error Reports).

The eSubmit service is available seven days a week on a 24 hour basis with the exception of weekly scheduled system maintenance, Sunday mornings between the hours of 1:00 a.m. to 5:00 a.m. and Wednesday mornings between the hours of 5:00 a.m. to 8:00 a.m.

Step-by-step instructions and tip sheets for using eSubmit are available below.

Submitting

Medical Claims Supporting Documentation or a Remittance Advice Inquiry

  1. Log into GO Secure
  2. Select eSubmit from the Administration and MOHLTC Services page. This will take you to the eSubmit main page
  3. Select the type of electronic submission you want to send to the ministry
    • Supporting Documentation
    • Remittance Advice Inquiry (RAI)
    • Additional Information Request

Once these three steps are completed, continue with the steps in the dropdown menus or use the step-by-step guides (found below).

Supporting Documentation

  1. Complete the Supporting Documentation Submission Form
  2. Add attachments (a minimum of one (1) attachment is mandatory)
  3. Add remarks (optional)
  4. Select the Submit button
  5. Receive a confirmation email from the ministry containing a Ticket Number

Step-by-step guide to: Submitting Supporting Documentation

Remittance Advice Inquiry (RAI)

  1. Complete the Remittance Advice Inquiry Submission Form
  2. Add attachments (if no attachments, the Remarks section is mandatory)
  3. Add remarks (if none, a minimum of one (1) attachment is mandatory)
  4. Select the Submit button
  5. Receive a confirmation email from the ministry containing a Ticket Number

Step-by-step guide to: Submitting a Remittance Advice Inquiry

Additional Information Request

Only to be used if you have received an Additional Information Request from the ministry regarding a previous ticket (refer to Viewing an Additional Information Request). Be sure to retain the Request ID number noted in the Additional Information Request as you will need to enter this number to access the submission screen

  1. Open the Additional Information Request located in MC EDT to find the details of what additional information is being requested
  2. Go back into GO Secure and select eSubmit
  3. Select Additional Information Request
  4. Enter and submit the Request ID (enter all leading zeroes)
  5. Complete the Additional Information Submission Form
  6. Add attachments (if no attachments, the Remarks section is mandatory)
  7. Add remarks (if none, a minimum of one (1) attachment is mandatory)
  8. Select the Submit button
  9. Receive a confirmation email from the ministry

Step-by-step guide to: Submitting an Additional Information Request

Viewing

Additional Information Request or a Remittance Advice Inquiry Response

  1. Log into GO Secure
  2. Select MC EDT Service from the Administration and MOHLTC Services page. This will take you to the Medical Claims Electronic Data Transfer main page
  3. Select Download
  4. Enter the billing number or Select from the options in the drop down menu

Once these four steps are completed, expand one of the selections below to see the remaining steps. A detailed step-by-step guide is also available.

Additional Information Request

  1. Look for File Type GCM and Subject ‘General Communication’. Filename will begin with add followed by the provider number and then the ticket number.
  2. Select Download
  3. Open or Save the file
  4. View the request and note the Request ID number

Step-by-step guide to: Viewing Additional Information Request

Remittance Advice Inquiry Response

  1. Look for File Type GCM and Subject General Communication. Filename will begin with RAI followed by the provider number and then the ticket number.
  2. Select Download
  3. Open or Save the file
  4. View the response

Step-by-step guide to: Viewing Remittance Advice Inquiry Response

Other Helpful Resources


For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free in Ontario only)
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm

If you are a member of the media, call Communications and Marketing Branch at 416-314-6197 or visit our News Room section.