eSubmit is used to submit Medical Claims Supporting Documentation (manual review), Remittance Advice Inquiries, and Responses to Additional Information Requests to the ministry. A new option to view the status of an eSubmit ticket is now available by selecting My Ticket Status.
eSubmission of Medical Claims 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 (operative reports, consult report/notes) required to adjudicate complex claims.
Access to the eSubmit service is through the Government of Ontario (GO) Secure website. If you are registered for Medical Claims Electronic Data Transfer (MCEDT) you and your designates automatically have access to eSubmit. Once logged in, you can select the eSubmit link and complete an online form.
Requests for additional information and responses to Remittance Advice Inquiries are sent to your MCEDT 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, except for weekly scheduled system maintenance, which occurs on Sunday mornings between the hours of 5:00 am to 8:00 am and Wednesday mornings between the hours of 5:00 am to 8:00 am.
Step-by-step instructions for using eSubmit are available below.
Submitting
Medical Claims Supporting Documentation, Remittance Advice Inquiry, Response to Additional Information Request.
- Log into eSubmit at www.ontario.ca/eSubmit
- Select eSubmit from the Administration and MOHLTC Services page. This will take you to the eSubmit main page
- Select one of the first three options below to submit documentation to the ministry
- Supporting Documentation (Manual Review)
- Remittance Advice Inquiry (RAI)
- Response to Additional Information Request
- My Ticket Status
Supporting Documentation and Remittance Advice Inquiry (RAI)
- Select Supporting Documentation Submission or RAI from the main menu.
- There are two sections to choose from on the Submission Details screen when submitting Supporting Documentation or Remittance Advice Inquiries. They are Ontario Provider Claim and RTPBA – Out of Country Claim.
- Please select Ontario Provider Claim for submission for, or on behalf of, an Ontario Provider. Select ‘RTPBA – Out of Country Claim’ if you are submitting for a Registered Third-Party Billing Agency on behalf of an Ontario resident’s out of country claims.
- Complete the mandatory fields (marked by asterisk *).
- Add either attachments (up to 15 per submission) or Provider/Group Remarks.
- Select Submit button.
- Receive a confirmation message and an email from the ministry containing your ticket and account number.
Further instructions can be found in the eSubmit User Manual.
Response to Additional Information Request
Submitting a Response to Additional Information Request is only to be used when you have received an Additional Information Request from the Ministry of Health regarding a previous eSubmit ticket.
Retain the Request ID number noted in the Additional Information Request from the ministry, as you will need to enter this number to access the submission screen.
- Choose Response to Additional Information Request from the eSubmit main screen.
- Enter the six-digit Request ID (including any leading zeroes) provided by the ministry and click Submit.
- The Additional Supporting Documentation Required form will open. Contact Information section will be pre-populated based on the Request ID entered.
- Add either attachments (up to 4 per submission) or Provider/Group Remarks.
- Select the Submit button.
- Receive a confirmation message and an email from the ministry containing your ticket and account number.
Further instructions can be found in the eSubmit User Manual.
Viewing
My Ticket Status
To view the status of your eSubmit ticket submissions, select My Ticket Status on the eSubmit main menu. Select view “All Open” or “Closed” tickets from the Ticket State field.
Open Tickets will display all tickets that are in an open status.
Closed Tickets will display all tickets within the date range entered that are closed. Search is limited to tickets closed within the last 12 months.
Further instructions can be found in the eSubmit User Manual.
Additional Information Request or Remittance Advice Inquiry Response
- Log in to GO Secure
- Select MCEDT Service from the Administration and MOHLTC Services page. This will take you to the Medical Claims Electronic Data Transfer main page
- Select Download
- A list of reports will populate in the Available Reports screen
Additional Information Request
- In the list of reports, look for file type EFR and Subject eSubmit Form Return.
The file name will appear in this format:
ClaimsSubmissionNumber_ADD_0000_123456_eSubmitTicket Number.csv - Select Download
- Open or Save the file
- View the request and note the Request ID number
Further instructions can be found in the eSubmit User Manual.
Remittance Advice Inquiry Response
- In the list of reports, look for file type EFR and Subject eSubmit Form Return.
The filename will appear in this format:
ClaimsSubmissionNumber_RAI_0000_123456_eSubmitTicketNumber.csv - Select Download
- Open or Save the file
- View the response from the ministry
Further detailed instructions can be found in the eSubmit User Manual.
Other Helpful Resources
- MCEDT
- Welcome to eSubmit
- eSubmit Technical Specifications for RAI and Supporting Documentation Electronic Submissions [PDF]
Public Information
