1.4.1.3 OHIP Pre-Invoice Functions

Before creating OHIP submissions, read through the following checklist:

• Version codes corrected and invoice marked for re-submission
• All monthly monitoring billing submitted (INR’s)
• Search for Unbilled Encounters and bill
• Error report encounters corrected and re-submitted

RECIPROCAL BILLING

1. In ‘Patient Detail Record’, enter the out-of-province health number in the HIN box
2. In ‘HC Type’, click on the drop down menu of the provinces & select the correct province

NOTE: There is a Reciprocal Health billing agreement with all provinces except Quebec. For Quebec patients need to pay cash for the appointment and the patient submits the receipt to the Quebec Health system for re-imbursement.

VIEWING PATIENT’S BILLING HISTORY

1. In the Appointment Screen, click the Search tab
2. Type in the patients name and click Search
3. Click on the Demographic ID for the correct patient to access the ‘Patient’s Detail Record”

OR

1. If the patient has an appointment, click on the M beside the patient’s name on the appointment screen
2. Clicking ‘BILLING HISTORY’ shows a list of the encounters that have been billed with date, bill type, provider and comment column
3. Clicking on the date will allow you to view what was billed for each encounter

• Only billed encounters that have NOT been submitted to OHIP can be unbilled and re-billed

SEARCHING FOR UNBILLED APPOINTMENTS

See Reports for instructions on how to create billing reports, which include a list of unbilled patients.