OHIP Personal Health Information (PHI) Access Requests

Interpreting a Personal Claims History


Full Personal Claims History

The Full Personal Claims History contains the information shown below:

Personal Claims History for: HEALTH NUMBER, NAME

Claim Period: Start Date to End Date

Service Date FSC+
FSC Description
Clinic Name
Clinic Municipality
Provider Name
Provider CPSO #
Provider Municipality
Referring Physician
Referring Physician CPSO #
Referring Physician Municipality
Spec Code
# / SERV
Fee Paid
Hospital #
YYYY-MM-DD A007A

INTERMED, ASSES/WELL BABY CARE-F.P.F.P/PAED

GEN CLINIC

HAMILTON

A.N. OTHER

000000

TORONTO
J. DOE

000000

OTTAWA
00

1

$33.70
0000

Definitions of headings on a Full Personal Claims History report:

Health No:
The individual's 10-digit Ontario health card number.

Name:
The individual’s first and last name.

Service Date:
The date service(s) were received.

FSC (Fee Schedule Code):
A code used by the ministry to identify the service provided. For a more detailed description of each FSC, please consult the Schedule of Benefits.

FSC Description:
A brief description of the service provided.

Clinic Name:
If you received services from a clinic, this is the name of the visited clinic.

Clinic Municipality:
The municipality of the visited clinic.

Provider Name:
The first and last name of the health care professional who provided the service.

Provider CPSO #:
A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies which health care professional provided the service.  You can use this number to look up contact information for the provider.

Provider Municipality:
The municipality of the health care professional who provided the service.

Referring Physician:
The first and last name of the referring provider, if applicable.

Referring Physician CPSO #:
A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies the referring provider if the service resulted from a referral. You can use this number to look up contact information for the provider.

Referring Physician Municipality:
The municipality of the referring provider, if applicable.

Spec Cd (Specialization Code):
The ministry uses this code to identify the type of specialist that provided the service(s).

# / Serv:
The number of units billed for this visit.

Fee Paid:
The fee paid to the health care professional for the service.

Hospital No:
If a hospital provided the service, the ministry uses this code to identify the hospital.


Limited Personal Claims History

The Limited Personal Claims History contains the information shown below:

Note: This report contains less personal health information than the complete report. It is often requested as documentation for:

  • Canadian Immigration (CIC)
  • Canadian Pension Plan
  • Work Place Insurance Board

Limited Personal Claim History for:
Health No, Your Name
CLAIM PERIOD: Start Date TO End Date

Service Date Provider Name CPSO Number
2015-03-12 John Doe 123456

Definitions of headings on a Limited Personal Claims History report:

Health No:
The individual's 10-digit Ontario health card number.

Name:
The individual’s first and last name.

Service Date:
The date service(s) were received.

Provider Name:
The first and last name of the health care professional who provided the service.

CPSO #:
A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies which health care professional provided the service. You can use this number to look up contact information for the provider.

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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