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Ontario Health Insurance Plan

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INFOBulletin

Keeping Health Care Providers informed of payment, policy or program changes

Physiotherapy Facilities InfoBulletins

To:  Physiotherapy Facilities

Published by:  Health Services Branch

Date Issued:  February 9, 2017

Bulletin Number:  3132

Re:  Reconciliation of Service Encounter Submissions

Posted Electronically Only

PDF Version Portable Document Format | 122 Kb


The following is being provided for information and reference purposes and is further to INFOBulletin 3112 – Guidelines for Physiotherapy Service Encounter Submissions.

With the end of the current fiscal year approaching you are reminded that clinics are responsible for ensuring that the number of Episodes of Care (EOC) that have been submitted for processing agrees with the number of EOC that are reflected on your clinic’s Remittance Advice (RA) report.

As communicated to all physiotherapy clinics in INFOBulletin 3118 – Remittance Advice Changes Effective May 1, 2016 the monthly RA now reports services based on the date of service. For assistance with your RA please contact the Service Support Contact Centre.

Please be aware that service encounters must be submitted to the ministry within two (2) months of the date of service. Service encounters that are not submitted within the two (2) month time frame will reject (VJ8) as a stale dated service. To avoid stale dated service encounters the ministry recommends that service encounters be submitted on a weekly basis, however, if you choose to submit on a less frequent basis, you should submit at least once a month in order to allow sufficient time to correct any errors that may be found during processing.

Year-end reconciliations will be based on service encounter submissions received and approved on the ministry's MC EDT system.

Contacts

Inquiries related to MC EDT submissions should be directed to the Service Support Contact Centre at 1-800-262-6524.

The desk is staffed from 8:00 am until 5:00 pm, Monday to Friday, and your inquiry will be escalated to appropriate ministry staff. After business hours an answering service is available and your call will be returned the following business day.

Contact your software vendor for questions or issues related to your billing software.


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For More Information

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