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Ministry Status: Recovery


The ministry is resuming regular operations and supporting health sector stabilization.

Ontario Health Insurance Plan

OHIP Bulletins

Billing Software Specifications

Technical - Billing Software Specifications
2022
221104 Electronic Claim Submission for Third Party Billers
220907 Claims Submission Timeframe for In-Province Accounts
220903 New Explanatory Code 'W3'
220902 Northwest Territories Health Service Number
220404 Updates to the Vendor Fee Schedule Master
2021
210901 Health Card 2D Barcode Specifications Available Upon Request
Archive
20-003 Changes to the Outside Use Report (Patients with Signed Consent)
20-002 New Diagnostic Code 080
20-001 Mandatory Service Location Indicator (SLI) on Technical Fees
19-001 New Explanatory Codes
18-004 OHIP Payment Summary Report for Homeless Shelter Agreement groups
18-003 New Explanatory Code MM
18-002 Adding Target Population Service Report (TPSR) to Medical Claims Electronic Data Transfer (MCEDT)
18-001 Adding Detailed Categorization of Claims Report to Medical Claims Electronic Data Transfer (MCEDT)
17-007 New Error Codes ‘A3H’ and ‘A3I’
17-006 Updated Version of the Technical Specifications for Reports sent via MCEDT
17-005 New Error Code ‘ADH’
17-004 Updated Explanatory Code Description – 33
17-003 New Error Condition – EP7
17-002 Electronic Submission of Supporting Documentation and Remittance Advice Inquiries
17-001 DEADLINE EXTENDED: MCEDT and HCV Web Service Security Certificate and Cryptography Protocol Upgrade
16-003 Updates to Tables in the Technical Specifications – Interface to Health Care Systems – Electronic Input Specifications Manual (Tech Spec)
16-002 REMINDER: MCEDT and HCV Web Service Security Certificate and Cryptography Protocol Upgrade
16-001 MCEDT and HCV Web Service Security Certificate and Cryptography Protocol Upgrade
15-006 Error Code "EPA" - "Network Not Allowed" update [PDF]
15-004 Physiotherapy Stale Date Submission and New Error Code [PDF]
15-003 New Fee Code B400A [PDF]
15-002 Electronic Input-Output Specifications - 'MOH Office Code' [PDF]
15-001 New Error Code 'ADF' [PDF]
14-007 Changes to EQ4 Error Message Output [PDF]
14-006 New Explanatory Code HB [PDF]
14-005 New Explanatory Code DF [PDF]
14-004 New Error Condition AD1 [PDF]
14-003 New Error Condition CNA [PDF]
14-002 New Explanatory Code MO [PDF]
14-001 New Explanatory Codes [PDF]
13-001 New Service Location Indicator Codes [PDF]
11-002 New Service Location Indicator Codes [PDF]
09-001 60 Day Notification of Changes to the Technical Specifications (Interface to Health Care System) Manual for the Claims Error Report [PDF]
08-005 Technical Specifications Reciprocal Hospital Billing ICD-10 File Layout Version 2.1 [PDF]
Note: 08-005 replaces previous version 08-002
08-003 Data Link for OHIP Billing Software Vendors per the OHIP Payment of Telemedicine Claims [PDF]
08-002 Technical Specifications Reciprocal Hospital Billing ICD-10 File Layout [PDF]
Please refer to 08-005 Technical Specifications Reciprocal Hospital Billing ICD-10 File Layout Version 2.1
06-001 Changes to the Technical Specifications Interface to Health Systems [PDF]
05-001 Changes to the Technical Specifications Interface to Health Systems [PDF]

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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
Hours of operation: Monday to Friday, 8:30am – 5:00pm

 
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