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Doctors. Whether you visit your doctor, or if you see one in a walk-in clinic, OHIP covers the full cost of your services – as long as they’re medically necessary. This includes both medically necessary in-person visits, as well as medically necessary virtual visits delivered by video or telephone.
The information contained in the OHIP Schedule of Benefits requires knowledgeable interpretation and is intended primarily for members of the professional health care community. The Schedules set out the fees and requirements for payment for insured services under OHIP.
This educational module introduces the Schedule of Benefits for Physician Services (the Schedule) and provides an overview of how to determine the most appropriate fee codes to claim for specific services.
The Schedule of Benefits lists all services insured by OHIP and includes: the General Preamble (which affects all physicians), Consultations and Visits section (which applies to all specialties),
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There are three main types of claims processed by OHIP: health, Workplace Safety and Insurance Board, and reciprocal medical billing. Health claims are for services rendered by physicians to a patient with OHIP coverage. Download the OHIP Schedule of Benefits.
The Schedule lists approximately 6,000 physician services and the conditions under which each service can be claimed to OHIP.
People also ask
What types of claims are processed by OHIP?
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Feb 22, 2021 · Whether you’re a plastic surgeon or an epidemiologist, being a doctor in Canada means billing for your time! From using OHIP’s schedule of benefits to filling out worker’s compensation claims, there are a number of ways to bill when you’re practicing in Ontario. Here are the basics: OHIP Billing
