Because Ministry bills can only be created for individual patients, when you bill non-patient related service codes, you use a fake patient with a health card number 9777777779.
You must add this fake patient both to MDBilling and the CHR. In the CHR, you can then bill from the fake patient's chart.
Some examples of applicable service codes include:
Preventive care incentives (Q codes)
FHO+ hourly rate tracking codes
Steps
1. From any browser, log into your MDBilling account.
2. In the left pane, under Patients, click New Patient. The EDIT OHIP PATIENT window opens.
3. In the Health Card Number field, type 9777777779.
4. In the Payment Program list, select HCP.
5. In the Last Name, First Name, Date of Birth and Gender fields, enter any value.
💡 Tip: Information in these fields is not submitted to the Ministry.
6. Click Save.
7. In the CHR, create a new patient with the following OHIP number: 9777777779. Refer to Adding patients for more information.
💡 Tip: You can use any name, birthdate and gender. For FHO+ tracking, create one fake patient per provider and use a name that identifies the provider (e.g., surname "FHO-Smith").
8. Using the fake patient in the CHR, you can now bill non-patient related codes to the Ministry. Refer to:
📌 Note: The CHR requires you to enter a diagnosis code on a bill. For fee codes that do not require a diagnostic code, use diagnosis code 799 (general symptoms).
Updated April 24, 2026