Bulletin 250701 — Relativity updates on the July 2025 Remittance Advice

To: All Physicians
Category: Physician Services, Primary Health Care Services, Community surgical and diagnostic centres
Written by: Physician Relations & Contract Oversight Branch, Physician and Provider Services Division
Date issued: July 4, 2025
Bulletin Number: 250701

Overview

The Ministry of Health (ministry) and the Ontario Medical Association (OMA) have been working together to implement physician compensation increases in accordance with the Arbitration Award for year 1 of the 2024-2028 Physician Services Agreement (PSA).

Further to Bulletin 250406 — Relativity-adjusted physician payment increases | OHIP INFOBulletins 2025 | ontario.ca, and Bulletin 250601 - Relativity payments June 2025 remittance advice | OHIP INFOBulletins 2025 | ontario.ca, updates were made to the OHIP claims system in May 2025 to make relativity-adjusted (relativity) payments starting on the June 2025 Remittance Advice (RA). Relativity payments will continue each month where eligible corresponding payments are made to a group or individual physician. The relativity payment will be made on the same RA where the corresponding payment is made, such as to the group or solo RA, and appears as one of the following accounting adjustments:

• HCP relativity payment
• HCP relativity payment opt-out
• RMB relativity payment
• WSIB relativity payment

July 2025 RA - Automated payments for April 2025 billing period

The relativity payments for automated payments not processed on the June 2025 RA for the April billing period have been paid on the July 2025 RA.

These payments were made as a lump-sum payment under the accounting adjustment section of the RA with a description of ‘HCP relativity payment’ and a payment date of May 22, 2025.

The impacted payments for the April 2025 billing period are as follows:

• HIV (human immunodeficiency virus) compensation premium
• Blended fee-for-service premium
• After hours on call coverage payment
• Office practice admin payment
• Group Management & Leadership payment (GMLP)
• Special premiums
• Rurality gradient premium
• Base payment
• Admin payment
• Group admin payment
• On call after hours payment
• Access bonus payment
• Comprehensive care capitation payment
• Comprehensive care capitation discount
• Base rate payment
• Base remuneration payment
• Benefits payment
• Locum remuneration payment
• After hours incentive premium
• Automated age premiums
• Global funding
• 2004 agreement flow through
• Holiday premium
• 2008 agreement flow through
• Blended premium
• Specialist shadow billing
• General Practitioner (GP) psych premium
• Automated anesthesia age premiums
• Automated after hours age premiums
• Focus practice assessment premiums
• Geriatric automated age premiums
• Hospitalist premium
• Internal medicine premium
• Reciprocal Medical Billing System (RMBS) GP psych premium
• RMBS anesthesia automated age premiums
• RMBS after hours automated age premiums
• RMBS focus practice assessment premiums

July 2025 RA approved claim reporting correction

Each physician’s Month-to-Date (MTD) and Year-to-Date (YTD) approved claims totals billed under a group number are now correctly being reported on the July 2025 Relativity Summary Report.

How to reconcile the Relativity Summary Report on the July 2025 RA

For groups that had encountered reporting discrepancies on the June 2025 RA Relativity Summary Report, you will be able to use the June and July 2025 RAs to determine each physician’s total payment.

If you download your RA directly from the Medical Claims Electronic Data Transfer (MCEDT), the accounting adjustments referenced below are identified using the HR7 record type at the beginning of each row.

Approved claims totals:

• The current MTD total on the July 2025 RA Relativity Summary Report will contain the June billing period approved claim amounts and the corresponding Relativity payment amount.
• The YTD total will include the amounts for the April, May, and June 2025 billing periods.
• To determine how much each physician’s relativity payment was on the June 2025 RA for the April and May billing periods, you can subtract the MTD from the YTD total on the July 2025 RA.
  • June RA Accounting Adjustment date of May 20, 2025, is for the April billing period
  • June RA Accounting Adjustment date of May 28, 2025, is for the May billing period

Example calculation:

• For this example, the physician’s billing number is 111111 and the group number is 9999
• July RA MTD relativity payment is $155.00
• July RA YTD relativity payment total is $560.20
• June MTD payment total would be $560.20 - $155.00 = $405.20

Figure A: Group 9999 July 2025 RA Sample Relativity Summary Report

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Automated payments totals:

• The current MTD total on the July 2025 RA Relativity Summary Report will contain the June billing period relativity payment amount for automated payments.
• The accounting adjustment on the July 2025 RA with a May 22, 2025 payment date and a description of ‘HCP RELATIVITY PAYMENT’ is the total relativity payment amount for automated payments for the April 2025 billing period.
• The accounting adjustment on the June 2025 RA with a payment date of May 29, 2025 and a description of ‘HCP RELATIVITY PAYMENT’ contained the relativity payment amount for the automated payments for the May billing period.
• Adding the June 2025 RA accounting adjustment (dated May 29, 2025) and the July 2025 RA accounting adjustment (dated May 22, 2025) amounts together will equal the correct YTD payment amount reported on the June 2025 RA Relativity Summary Report for all group physicians.

Example calculation:

• For this example, the group number is FHO1.
• July RA MTD accounting adjustment for the relativity payment on the automated payments is $22,271.16 (See Figure B)
• June Payment
  • To find the total relativity payment for automated payments on the June RA Relativity Summary Report, take the Total Relativity payment $49,458.76 and subtract the Total Approved Claims amount $5,017.20 which equals $44,441.56. (See Figure E)
    • May billing period payment total is $23,120.57 (See Figure D)
    • April billing period payment total is $21,320.99 (See Figure B)

Figure B: Group FHO1 July 2025 RA Sample Accounting Adjustments

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Figure C: Group FHO1 July 2025 RA Sample Relativity Summary Report

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Figure D: Group FHO1 June 2025 RA Sample Accounting Adjustments

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Figure E: Group FHO1 June 2025 RA Sample Relativity Summary Report

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Keywords/Tags

2024-2028 PSA; Relativity; July 2025 RA

Contact information

Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524. Hours of operation: 8:00 a.m. to 5:00 p.m. Eastern Monday to Friday, except holidays.