We offer four plans designed to suit your different needs. Learn about the best option for you here.

For your first billing cycle, we offer Premium Plan at no charge, which allows you to give us a try and see what pricing tier is best for you.

Interested? Get started.

Currently any physician who practices medicine in Ontario and bills through OHIP can create and submit claims with Agent+. The app is optimized for specialists who operate in hospital environments. Agent+ currently supports most specialties, and is optimized for many specialties. Please see the full list below.

Cardiology
Critical Care
Endocrinology
Family and General Practice
Gastroenterology
Geriatrics
Infectious Disease
Internal Medicine
Neurology
Paediatrics
Palliative Care

Agent+ was built with information privacy in mind, focusing on PHIPAA compliance and data security. This is accomplished via several factors:

Authentication: Agent+ creates a unique ID for every installed version of the app, and requires a PIN for access to the app and associated patient information.

Audit Controls: We maintain a log of who accesses your data, and when they access it.

Encryption: We ensure that all Protected Health Information is kept private and secure, provided by IDENTOS 256 AES Encryption built into the app. This encryption ensures that only you can access your PHI, and that all data stored on your device is protected from external threat.

Agent+ will provide you with a monthly RA report along with a list of any rejected claims and the reason for the rejections.

A CPSO number is assigned to each doctor, which they provide to a pharmacist when prescribing medication. This number can be found on the CPSO website. A Billing number (aka OHIP Provider Number) is assigned to a doctor by the Ministry of Health, and is used to identify them when billing or referring patients. A billing number can be found by looking at old medical reports, asking the on-staff unit clerk, or speaking to the administrator of the hospital.

When adding a referring physician to your app, you need the billing number, not the CPSO number.

You will need
• To sign up for an Agent+ account
• Your OHIP Provider (Billing) and CPSO number
• To provide us with Personal and Billing Information
• a Go Secure Account
• a MCEDT Account
• to designate Agent+ to bill on your behalf with the OMHLTC

Note: You will be required to open and close your Internet browser several times during the process of registering for the GO Secure account and enrolling for MC EDT. You can not have other Internet items open at the same time.

To Designate Agent+

In order for Agent+ to bill on your behalf, you must add Agent+ as a designee.
Please ensure you have a GO Secure Account and an MCEDT account. If you do not, or are unsure, please consult our Frequently Asked Questions for more details.

NOTE This process is often easier when completed on a computer or tablet. Send these instructions to yourself for reference on a computer.

If you are having any difficulty, please contact us at 1-647-933-5613 or support@agentplus.ca and we can assist you

To Designate Agent+:

We offer four plans designed to suit your different needs. Learn about the best option for you here.

For your first billing cycle, we offer Premium Plan at no charge, which allows you to give us a try and see what pricing tier is best for you.

Interested? Get started.

We’re flexible! Change plans at any time, with no contract commitment.

No!

Absolutely, contact us here to discuss your options. Changes will be reflected on the following billing cycle.

We accept payment by credit card.

You are only charged a fee on what you are paid by the Ministry. Your credit card will be charged when your monthly RA report is provided to you. The report will include details of all claims billed and an Agent+ Invoice.

You have access to the services provided in our Premium Plan for your first billing cycle at no charge. Your first monthly RA report is free.

If you choose our Full Service plan, you will receive a $100 credit, which you will see on the invoice provided with your first monthly RA report.

Contact us here

A PIN is a four digit code you’ll enter every time you open the Agent+ app to verify your identity. It ensures that your patient data stays safe and encrypted at all times, except when you need it.

In order to bill for you, Agent+ needs to provide information on your behalf to the MOH, in order for you to be properly paid for your submitted claims

If you do not know which office is your assigned MOH office you can ask your existing Billing Agent or contact Service Ontario for their assistance, contact details below.
ServiceOntario INFOline
Toll Free: 1-888-376-5197, 416-314-5518
Mon/Fri 8:30am – 5:00pm
https://www.health.gov.on.ca/en/pro/programs/ohip/claimsoffice/

Rounds is a feature that lets you collect a list of the patients you see regularly.

To add a patient to the rounds list, on their visit information screen, turn on the “Rounds Patient” toggle. That patient will automatically appear on your rounds list.

Our list of referring MDs is ever growing, and relies on contributions from our users. If your referring doctor is not in our list, please add it either in the app – you will be presented with this option after a failed search for referring doctor in the app – or by emailing the doctor’s name and 5-digit reference number to support@agentplus.ca so we can confirm the doctor and add them to the list.

We work hard to keep our database of codes up to date with what is available from the Ministry of Health. As such, please try searching with different spelling, or phrasing. If you still cannot find the service code you are looking for, please contact support@agentplus.ca and we will do our best to resolve the issue.

We work hard to keep our database of codes up to date with what is available from the Ministry of Health. As such, please try searching with different spelling, or phrasing. If you still cannot find the diagnosis code you are looking for, please support@agentplus.ca and we will do our best to resolve the issue.

Agent+ will not let you set a service date to a day that is earlier than a patient’s admit date, or a day that exists in the future. Please check your patient’s admission date by tapping on their visit information from the claim overview screen.

It is likely this is a premium code has conditions or requirements that aren’t being met. To rule this out, view the service code’s details by long pressing on the entry. If you believe you have met the code’s conditions or requirements, please support@agentplus.ca and we will do our best to resolve the issue.

All claims can be accessed by tapping the “Manage Claims” button on the home screen, and then visiting one of the 6 sub-sections that claims are divided into.

Any claim that has not yet been submitted, can be found in either the In Progress or Ready folder.

Once a claim or Remittance Advice Inquiry is submitted, it will remain in the Submitted folder until Agent+ has received a response from the MOH, when it will be automatically moved to the appropriate folder

A claim that is rejected by the MOH before it has reached your monthly RA is found in the Rejections folder. They can be edited and resubmitted directly from this folder.

A claim that is rejected by the MOH on your monthly RA is in the Partial & non Payments folder. Address these claims by creating an Inquiry and supplying documentation to the MOH directly through the app.

Once a claim has be successfully paid, or written off by you, it can be found in the Resolved folder.

Claims can only be deleted prior to claim submission.

To delete a claim, locate it in the In Progress or Ready folder, then swipe across the claim from right to left. This will reveal a Delete button that you can tap to remove the claim. Note: this action cannot be undone.

If there is an error on a claim that you have submitted, please contact our billing agent support as soon as you notice.

1 (647) 933-5613 or ba@agentplus.ca

Do not create a duplicate claim with corrected information.

There are several tricks you can employ to optimize the ability of the scanner to read your labels. Ensure that there are no shadows on your label, allow the camera time to focus fully, and ensure the boxes created by the scanner surround the important pieces of information.

However, because patient labels have a wide range of different layouts and fonts the scanner will not always be perfectly accurate. We do our best to train the scanner how to read as many labels as possible, however it doesn’t always read perfectly, or doesn’t know how to read a particular layout or font.

Another fast way to enter your patient’s information is to use our health card verification feature. Simply type in the health card number and version code, and the app will populate the patient details after verifying the health card with the Ministry of Health.

Unfortunately claims cannot be edited after they are submitted. If caught early enough, we can often make the required changes in the back end of the app. Please contact support@agentplus.ca with details and we will do our best to resolve the issue.

Claims that go to your Rejections folder have failed an initial review by the MOH. For these claims – we like to call them Level One Rejections – you can choose to write off that claim and receive no payment, or you can address it. To address the claim tap the “Edit Claim” button. This will allow you to make changes to your claim that will solve the error. Once you have edited the rejected claim, you can resubmit it.

Claims that go to your Partial & Non Payments folder have been marked with error(s) by the MOH resulting in non-payments, or partial payments for the claim. For these claims – we like to call them Level Two Rejections – you can choose to write off that claim and receive no/less payment, or you can address it by creating an inquiry and providing documentation. This process is slightly more complicated.

Begin by viewing the partial/non-payment, and then tap “Submit Inquiry”. You will see a summary of your original claim information, as well as an empty list of “Codes on Inquiry” and a list of “Service Codes”. The “Service Codes” are the ones originally claimed by you.

Tap to select a service code that you would like to add to the inquiry.

You will be prompted to add further details about that code, including the reason, a place to type an explanation for the inquiry on the code, as well as an opportunity to add documentation by taking a photo of your notes on your phone.

Once you are satisfied with the details about the code, tap Save to add the code to your Remittance Inquiry.

This process can be repeated for as many codes as you want the Ministry of Health to reconsider their payment for.

Once all codes are added to your Remittance Inquiry, tap “Submit” in the top right corner of the screen. Your Inquiry will be sent to the Ministry of Health for review.

Premium codes based on percentages rely on back-end logic to calculate the billable amount.

Our billing agents are watching for instances when the back end logic isn’t supporting a specific code combination, resulting in the premium showing as worth $0. In this circumstance, our agents will manually adjust the billable amount before submission, so you get paid appropriately.

If you have a specific concern, please contact support@agentplus.ca.

Advance payments are paid for services with the understanding that the patient will be returning to you for subsequent care. If, for whatever reason, you do not claim for the subsequent care, the advance payment will be retracted.

When paid to you, it will appear on your RA labelled as an “Advanced Payment”. Any retraction of advance payments will also be shown on your RA as a “Premium Deduction”.