Bulletin 251005 — Relativity updates on the October 2025 Remittance Advice
Relativity payment and reporting updates on the October 2025 Remittance Advice (RA)
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: October 17, 2025
Bulletin Number: 251005
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 updates were made to the OHIP claims system to apply relativity-adjusted (relativity) payments starting on the June 2025 Remittance Advice (RA). Relativity payments will be applied monthly on the same RA the corresponding payment is made (solo or group). The payment will appear as one of the following accounting adjustments:
- HCP RELATIVITY PAYMENT
- HCP RELATIVITY PAYMENT OPT-OUT
- RMB RELATIVITY PAYMENT
- WSIB RELATIVITY PAYMENT
Updates to relativity reporting on the RA
Effective on the October 2025 RA, the relativity summary report has been updated. All month-to-date (MTD), and year-to-date (YTD) totals now reflect all relativity payments issued to-date. This update addresses all payments and fixes identified in the following bulletins.
- Bulletin 250601 - Relativity Updates on the June 2025 Remittance Advice
- Bulletin 250701 - Relativity Updates on the July 2025 Remittance Advice
- Bulletin 250801 - Relativity Updates on the August 2025 Remittance Advice
- Bulletin 250905 - Relativity Updates on the September 2025 Remittance Advice
Note: Relativity Payments dated August 25, 2025, paid or deducted on the September RA were previously not reported. These totals are now listed in the October relativity summary report YTD amounts.
See below for examples of how to break down the August 25, 2025, payment using the October relativity summary report.
| September YTD | October MTD | October YTD Correct Value | Calculation to determine physicians' portion of August 25 payment | |
|---|---|---|---|---|
| Physician A | $325 | $40 | $375 | $375 - $40 - $325 = $10 |
| Physician B | $175 | $30 | $220 | $220 - $30 - $175 = $15 |
| August 25, 2025, Group Relativity Payment | $25 |
| September YTD | October MTD | October YTD Correct Value | Calculation to determine physicians' portion of August 25 payment | |
|---|---|---|---|---|
| Physician A | $325 | $40 | $348 | $348 - $40 - $325 = -$17 |
| Physician B | $175 | $30 | $182 | $182 - $30 - $175 = -$23 |
| August 25, 2025, Group Relativity Payment | -$40 |
Hospital technical fees
If a group previously received relativity-based payments on hospital technical fees, the related payment information will no longer be displayed on the relativity summary reports on the group and/or physician’s RAs as those payments were not eligible for relativity.
For some groups, this could mean a relativity summary report is no longer part of your RA if only hospital technical fees are submitted to the ministry for payment.
The adjustments related to those relativity payments were communicated in Bulletin 250905 - Relativity Updates on the September 2025 Remittance Advice.
October 2025 RA relativity payment processing issue
Some groups and physicians may notice a difference between the MTD amounts listed on the relativity summary report and the relativity payments received this month.
- The MTD values on the relativity summary report are correct.
- The payment amounts may be incorrect due to a processing issue currently under investigation by the Ministry.
Who is impacted
It was identified and communicated in Bulletin 250801 - Relativity Updates on the August 2025 Remittance Advice there was an issue with incorrect derived specialties being assigned for the physicians in the specialty and/or exception criteria listed below. Some groups or physicians who had corrective payments made on the September 2025 RA might be impacted by this processing error.
- Family & General Practice
- Emergency Medicine
- Critical Care
What this means for you
- If you received more than expected (overpayment), these funds will be adjusted in a future payment cycle.
- If you received less than expected (underpayment), the ministry will correct the payment and issue the remaining amount once the issue is resolved.
An update will be provided in a future INFOBulletin once the issue is resolved.
Future changes to relativity reporting
The ministry continues to explore improvements to reporting of relativity-based payments to make reconciliation easier for groups and physicians. More information to follow when those changes are ready.
Keywords/Tags
2024-2028 PSA; Relativity; October 2025; Derived Specialty; Global Rate; Technical Fees; CPOC; B400A; MCCSS; MAG; Remittance Advice
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.