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Health Insurance Act
Loi sur l’assurance-santé


Amended to O. Reg. 46/04


Historical version for the period March 1, 2004 to December 7, 2006.

This Regulation is made in English only.


1. In this Regulation,

“in-patient” means a person admitted to and assigned a bed in a hospital in-patient area. O. Reg. 22/02, s. 1.

Time limits for submitting accounts

2. A physician, practitioner, health facility or, in the case of a patient who is billed directly, the patient shall submit an account for an insured service to the General Manager no later than the following:

1. For insured services rendered in Ontario, no later than six months after the service is rendered.

2. For insured services rendered outside Ontario,

i. no later than 12 months after the date of the patient’s discharge for services rendered to in-patients, and

ii. in all other cases, no later than 12 months after the service is rendered. O. Reg. 22/02, s. 2.


3. Paragraph 2 of section 2 does not apply to services rendered outside Ontario that are approved by the General Manager for payment before the service is rendered. O. Reg. 22/02, s. 3.


4. This Regulation applies to accounts submitted on or after January 1, 2002. O. Reg. 22/02, s. 4; O. Reg. 46/04, s. 1.

5. Omitted (provides for coming into force of provisions of this Regulation). O. Reg. 22/02, s. 5.