Professional Billing Support
Complete claims management — Streamlined OHIP billing with accurate processing, efficient workflows, and responsive support.
About
With over 20 years of experience in medical administration, Medical Billing Assistant supports physicians with accurate, reliable, and personalized OHIP billing support. We understand how time-consuming billing can be—especially for solo practitioners or clinics without a dedicated billing specialist.
Using your existing billing software and EMR access would allow full transparency for claim management while staying current with all Ministry of Health updates to reduce rejections and maximize your earnings.
Whether you’re a solo physician or part of a group practice, we tailor our services to your unique needs—giving you peace of mind and more time to focus on patient care.
Our goal is to build long-term relationships with the physicians we serve—giving you the confidence that your billing is in good hands, every step of the way.
Blogs
Billing fees
Medical billing companies can charge up to 3% for medical claims for full service claims management. ie. $30,000 paid claims monthly Estimated Full Service Billing Fees: 1% = $300/ month 2% = $600/ month 3% = 900/ month Ontario’s medical billing fees have been a topic of debate and concern for healthcare providers and patients […]
Submitting RAI’s
(Remittance Advice Inquiries) A remittance advice inquiry or an RAI are a form that can be found on www.ontario.ca/eSubmit. — see below for instructions This is required when a claim has rejected and appeared on a physicians remittance advice report. Required information: Health card number, claim number, date of service, fee codes (under payment, […]
Incorrect special visit premium (SVP) – ADF
Blog # 1 – Medical Billing 101 ADF rejections can appear on error reports or as DF on RA reports when a claim has ineligible fee codes attached ie. special visit premiums (SVPs). SVPs are only eligible for payment with certain parent service codes and pursuant to the rules set out in the Schedule of Benefits. […]
Medical Billing Assistant
Assisting with medical billing in Ontario is an important role in the healthcare field. This position involves supporting healthcare professionals in the submission and processing of claims to ensure accurate reimbursement for services provided. Medical billing in Ontario is a crucial aspect of the healthcare system. It involves the submission and processing of claims for […]
Referring Physician Rejections
Blog # 2 – Medical Billing 101 Did you know adding referring physicians on claims that don’t require it can cause unnecessary rejections??? A number of OHIP billing codes require a referring physician’s billing number to get paid. This is the case for consultations (including telephone and e-consults) & laboratory and certain diagnostic procedures. The latter include any procedure […]
Incorrect Service Location (SLI) – V68
BLOG # 3 – MEDICAL BILLING 101 V68 – Incorrect service location indicator – assigned when a diagnostic service isbilled with a master number and admission date but the SLI code is not HIP This rejection can be avoided a few different ways: If you have selected “HIP” and have not added a facility If […]
Differences between E082A, E083A and E084A
All 3 of these codes relate to a MRP premium (most responsible physician) E082A info found in the Schedule on page 56 (GP42) E082 – admission assessment premium *this fee code is only eligible with consults/assessments when the most responsible physician admits the patient E083A/E084A info found in the Schedule on page 61 (GP47) E083 […]
Submitting A Manual Review
Go to www.esubmit.ca Log in to your Go Secure account Select manual review (supporting documentation) (remittance advice inquiry if it appeared on your RA) Photo above: Manual review form Must fill out: Once the form is completed, submit It will ask if you want to print the confirmation (a confirmation is emailed […]
2026 Ministry Cut Off Dates
The official cut-off for claims processing is generally on the 18th of each month at 5:00 EST but may occur on varying days due to holidays or other factors (December is usually around the 13th).
Claims will continue to be processed by OHIP during the rest of the month but are not guaranteed to be processed after the official cut-off date. If a claim is not submitted by official cut-off it may not be assessed until the next monthly billing cycle.
