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Provincial billing workflow (Ontario)
Updated over a week ago

TELUS Health offers the integration to MDBilling billing as part of your Collaborative Health Record (CHR) subscription. You create insured bills in the CHR and submit them to the MDBilling. After MDBilling processes your bills (claims), they're automatically updated in the CHR.

As part of your CHR subscription fees, you can:

  • Create claims

  • Submit claims from MDBilling to the Ministry of Health (MOH)

  • View and process remittances (claim responses) received from MOH

  • Manage claims

Before you can bill OHIP, you must register with MDBilling. TELUS Health can then integrate your CHR account with MDBilling. Refer to Integrating your CHR account with MDBilling.

Once you are set up, you create all provincial bills in the Insured Billing section of the CHR. The provincial billing workflow in Ontario consists of the following main steps:

1. Create bills in the CHR, either from an encounter, the Visits dashboard, the Billing dashboard or the Insured billing section of the patient’s chart. Refer to Creating provincial bills (Ontario).

2. Review 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.

3. Submit bills to the Ministry of Health (MOH) from your MDBilling portal.

4. Manage rejected claims.

Once you receive an answer from MOH, you can manage, resubmit or delete bills that were rejected. For more information, refer to Managing rejected bills from the Claims Error report (Ontario).

Updated: September 10, 2024

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