Step 1: Complete the Remittance Advice Inquiry form. If you’re having trouble opening, be sure to follow the instructions included by MOH.

Step 2: Contact your district office and ask for your claims assessor and confirm the District office Fax number to which the form should be sent.

Reach your district office by calling MOH Help desk 1-800-262-6524 and follow the prompts.
For Oshawa (office F), select language and then 4-1-1-3; Fax 905-434-4186
For Hamilton (office G), select language and then 4-1-1-5; Fax 905-546-8287
For Toronto (office N), select language and then 4-1-1-4; Fax 416-314-7518

Step 3: Fax to your district office with attention to your claim assessor.

Here is a breakdown of each field:

Group #: your group #. If you don’t have a group #, enter ‘0000’.

Solo #: your OHIP Billing #

Specialty #: If you have more than one specialty, send the specialty number the claim was billed for. If you don’t know your specialty number, see below ‘What is my specialty number?’

Account Number: your Agent+ claim number.

Health Number & HN Option: Enter patient’s health card number and the Health Number option. Select ‘Ontario HN’, unless the claim is a Reciprocal Medical Billing (RMB) out of province claim, select the ‘Out of Province HN’ option.

MOH claim number: MOH has it’s own claim number for each claim, that is separate from the Agent+ claim number. See the MOH claim number in the 2^nd to left column on your monthly RA report.

Date of RA: Use the 1^st day of the month. E.g. If the claim returned on your May 2018 Remittance Advice, use 05/01/2018.

Fee service code’s used: List all of the fee service codes included on the claim.

Step 1: Collect documentation and attach cover letter that includes the following information.

• Your name
• Your OHIP billing number
• Patient’s health card number
• Patient name
• Date of service
• Fee service codes claimed

Step 2: Contact your district office and ask for your claims assessor and confirm the District office Fax number to which the form should be sent.

Reach your district office by calling MOH Help desk 1-800-262-6524 and follow the prompts.
For Oshawa (office F), select language and then 4-1-1-3; Fax 905-434-4186
For Hamilton (office G), select language and then 4-1-1-5; Fax 905-546-8287
For Toronto (office N), select language and then 4-1-1-4; Fax 416-314-7518

Step 3: Fax with attention to your claim assessor.

Step 1: Log on to your Go Secure account and select “MAIN”.
Step 2: Tap Services dropdown and select ‘ESUBMIT’.
Step 3: Tap ‘Supporting Documentation’.
Step 4: Complete the fields on the ‘Supporting Documentation Submission’ page and attach documentation.

Group #: your group #. If you don’t have a group #, enter ‘0000’.

Solo #: your OHIP Billing #

Specialty #: If you have more than one specialty, send the specialty number the claim was billed for. If you don’t know your specialty number, see below ‘What is my specialty number?’

Account Number: your Agent+ claim number.

Health Number & HN Option: Enter patient’s health card number and the Health Number option.  Select ‘Ontario HN’, unless the claim is a Reciprocal Medical Billing (RMB) out of province claim, select the ‘Out of Province HN’ option.

Your specialty number is sent with your claims to MOH.

• Family Practice & Practice in General (00) A1
• Anaesthesia(01)
• Cardiology (60)
• Cardiac Surgery (09)
• Clinical Immunology (62)
• Community Medicine (05)
• Dermatology (02)
• Emergency Medicine (12)
• Endocrinology & Metabolism (15)
• Gastroenterology (41)
• General Surgery (03)
• General Thoracic Surgery (64)
• Genetics (22)
• Geriatrics (07)
• Haematology (61)
• Infectious Disease (46)
• Internal and Occupational Medicine (13)
• Laboratory Medicine (28)
• Medical Oncology (44)
• Nephrology (16)
• Neurology (18)
• Neurosurgery(04)
• NuclearMedicine(63)
• Obstetrics and Gynaecology (20)
• Ophthalmology (23)
• Orthopaedic Surgery (06)
• Otolaryngology (24)
• Paediatrics(26)
• Physical Medicine & Rehabilitation (31)
• Plastic Surgery (08)
• Psychiatry(19)
• Diagnostic Radiology (33)
• Radiation Oncology (34)
• Respiratory Disease (47)
• Rheumatology (48)
• Urology (35)
• Vascular Surgery (17)

Sometimes the Ministry requires a claim be submit manually, which means sending a written letter with further explanation regarding the service provided, along with chart notes.

Step 1: On the ‘Claim Info’ screen, tap ‘Add Item (optional)’ and then toggle on the option to ‘Flag for Manual Review’.

Step 2:  If you would like to provide supporting documents by fax, follow instructions: “How do I provide documentation to the Ministry by fax?”. If you would like to provide supporting documents by GoSecure portal ESUBMIT services, follow instructions: “How do I provide documentation to the Ministry via GoSecure portal?”

Include the following information:

• • • • • Patient Name
        • Patient Address
        • Instructions to mail cheque to a specific return address (e.g. medical office or hospital)
        • Phone # that patient can call for any inquiries or clarifications
        • Service date(s), fee service code value(s) and short description(s), fee service code values
        • Total amount owing