(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, over payment, or correction), clinical notes/supporting documentation may be required other a noted can be added to provider remarks.
* Once form is submitted an ESD ticket number will be generated and a confirmation will be sent to the email listed on RAI.
Step-by-step instructions for using eSubmit
Submitting
Medical claims supporting documentation (manual review), 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


Link to ministry Esubmit User Manual