OHIP billing resources and how to get help with billing questions.

To: Physicians, OHIP billing support staff
Category: Physician services
Written by: Provider Services Branch; Physician and Provider Services Division
Date issued: September 16, 2025
Bulletin Number: 250904

Overview

The primary goal of the Ontario Medical Association (OMA) and Ministry of Health (ministry) joint Education and Prevention Committee (EPC) is to educate physicians about submitting OHIP claims for payment for the insured services they provide.

The EPC would like to remind physicians of the billing resources and supports that are available.

Ontario.ca resources

The Resources for Physicians webpage includes information ranging from OHIP billing policies and procedures (such as OHIP registration and billing number maintenance) to information about OHIP payment requirements (such as understanding the Schedule of Benefits for Physician Services) and electronic business services (such as Medical Claims Data Transfer (MCEDT) and eSubmit).

This webpage also provides links to additional references including EPC Billing Briefs and OHIP INFOBulletins.

EPC Billing Briefs

EPC Billing Briefs give guidance on billing for general topics (such as assessment and consultations and virtual care services) to more targeted areas of practice (such as billing for postgraduate medical trainees) and specific services (such as fee codes for oncoplastic breast surgery and use of the trauma premium).

Notice of newly published EPC Billing Briefs is provided through OHIP Announcements email, an opt-in ministry email communication available to physicians and billing staff.

OHIP INFOBulletins

OHIP INFOBulletins are communications from the Ministry of Health. The communications inform of payment, policy, program, or software changes.

Notice of newly published INFOBulletins is provided through INFOBulletins email, an opt-in ministry email communication available to physicians and billing staff.

When additional help is required

For additional information, please visit the OMA and ministry jointly created resource Billing for OHIP Services — Resources for Physicians.

Contact the ministry’s Service Support Contact Centre:

Contact the OMA:

  • OMA staff can provide guidance on routine billing questions, claims reconciliation processes and other questions, and may liaise with the ministry to obtain further information on behalf of physicians.
  • Info@oma.org or
  • By calling 1-800-268-7215 or 416-599-2580 for individualized assistance.

Keywords/Tags

Resources for physicians, EPC Billing Briefs, OHIP billing, OHIP claims

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.