A new report titled Base Rate Acuity Payment Summary Report is now available for all eligible groups and physicians via MCEDT.

To: OHIP Billing Software Vendors
Category: Billing Software Specifications
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: September 25, 2025
Bulletin Number: 250906

Overview

As communicated in INFOBulletin 250901 – Capitation acuity modifier for FHN and FHO, a new Base Rate Acuity Payment Summary Report will be available for all eligible groups and physicians. The new report will be delivered in Medical Claims Electronic Data Transfer (MCEDT) mailboxes and will be generated each month. August 2025 reports will be available with other monthly reports for the September 2025 billing period.

New Report File Type

Vendors are encouraged to update their software to include the new downloadable report file type of ‘TAM’ and subject ‘Base Rate Acuity Payment Summary Report’, if required. This Comma Separated Values (CSV) file will include similar information to the current Base Rate Summary Report (patient count, member days, and payment amount) by age, sex, and acuity band.

The Group Payment Summary Report sent via MCEDT has been updated to include Base Rate Acuity payments and adjustments.

The file name will appear in the following format:

TAM-Group Billing Number-DDMMMYYYY.TXT for group reports.

TAM-Solo Billing Number – Group Billing Number-DDMMMYYYY.TXT for solo reports.

Designee Maintenance

Designee permissions will need to be set up to access the new report. For instructions on how to add permissions please visit the Medical Claims Electronic Data Transfer Designee Maintenance User Guide.

Keywords/Tags

Base rate; new report; TAM; file type

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.