⚠️ Important: If you work in Ontario, you must have a MDBilling account set up to create provincial (MOH) bills in the CHR. See Integrating your CHR account with MDBilling.
You create all provincial bills in the Insured Billing section of the CHR and submit to MDBilling via the CHR. You must login to the MDBilling portal and submit your bills to the Ministry of Health (MOH). You receive Claims Error reports from the MOH on all submitted claims. These claims are viewed and modified in the CHR. Once a month the MOH sends you a remittance advice (RA) which you can view from the MDBilling portal.
The provincial billing workflow in Ontario consists of the following main steps:
Create MOH bills in the CHR
There are various ways to create bills based on your workflow or personal preferences:
📌 Note: Using encounter templates with billing items configured is the most efficient way when you are billing using a select few billing codes.
From the Visits dashboard. See Creating provincial bills from the Visits dashboard.
From the Insured Billing section of the patient's chart. See Creating provincial bills from patient charts.
Review MOH bills and identify missing bills before submitting them to MDBilling.
Use the Billing dashboard to see all bills associated with signed encounters.
Use the Visits dashboard to see bills associated with appointments.
Submit the MOH bills to MDBilling.
See Submitting provincial bills to MDBilling for more information.
📌 Note: Once you submit a claim, you see an information icon at the top-right corner of every billing item showing transaction details of the claim sent to MDBilling and claim returned from MDBilling or the Ministry of Health (MOH).
Submit claims to the Ministry of Health (MOH) from your MDBilling portal.
Manage rejected bills from the MOH Claims Error report.
See Managing rejected bills from the MOH Claims Error report for more information.
Review your Remittance Advice
To review your remittance advice, you must login to the MDBilling portal. See Reconciliation of claims from your MDBilling portal.
Updated: October 27, 2021