Bulletin 251101 — Relativity updates on the November 2025 Remittance Advice
Relativity payment and reporting updates on the November 2025 Remittance Advice (RA)
To: All Physicians
Category: Physician Services, Primary Health Care Services
Written by: Physician Relations & Contract Oversight Branch, Physician and Provider Services Division
Date issued: November 3, 2025
Bulletin Number: 251101
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
Relativity Payment Corrections
Further to Bulletin 251005 - Relativity updates on the October 2025 remittance advice, it was discovered on the October 2025 RA that relativity payment amounts were not balancing to the month-to-date (MTD) amounts reported on the relativity summary report.
Accounting adjustments have been made on the November 2025 RA to balance the relativity payments to the expected amounts reported on the October RA. The adjustments were processed using one of the above accounting adjustment descriptions and can be identified by the transaction date of October 25, 2025, to differentiate them from the regular monthly relativity payments.
| Oct RA Reported Relativity MTD (A) | Sum of Oct RA Relativity Accounting Adjustments (B) | Sum of Nov RA Accounting Relativity Adjustments dated Oct 25, 2025 (C) | A = B + C |
|---|---|---|---|
| $2,421.73 | $2,387.05 | $34.68 | $2,421.73 = $2,387.05 + $34.68 |
| Oct RA Reported Relativity MTD (A) | Sum of Oct RA Relativity Accounting Adjustments (B) | Sum of Nov RA Accounting Relativity Adjustments dated Oct 25, 2025 (C) | A = B + C |
|---|---|---|---|
| $7,002.42 | $7,012.83 | -$10.41 | $7,002.42 = $7,012.83 - $10.41 |
Keywords/Tags
2024–2028 PSA; Relativity; November 2025; Derived Specialty; Remittance Advice
Contact information
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