Learn More >

Ministry Status: Activation Status

Ontario Health Insurance Plan

OHIP Bulletins


INFOBulletin

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

Physiotherapy Facilities InfoBulletins

To: Physiotherapy Facilities

Published by: Claims Services Branch

Date Issued: May 17, 2017

Bulletin Number: 3138

Re: Updated - Physiotherapy Stale Date Submission

Posted Electronically Only

PDF Version Portable Document Format | 124 kb


This INFOBulletin replaces INFOBulletin 3114 - Physiotherapy Stale Date Submission issued June 5, 2015.

Schedule E (d) amended April 1, 2017, of the Physiotherapy Transfer Payment Agreement states "In order for each Episode of Care to be considered complete, service encounter codes must be submitted to the ministry within three (3) months of the date of the service".

Physiotherapy service encounter codes submitted on or after April 1, 2017, with a service date greater than three (3) months will reject directly to your clinic's error report. The error code "VJ8 - Stale Dated Service Encounter" will appear beside the rejected services. The ministry may refuse to pay for a service encounter if not submitted within the prescribed time. A new message regarding the submission of service encounter codes will appear on your April 2017 Remittance Advice.

The ministry suggests physiotherapy clinics submit their service encounter reporting 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 time to correct any errors that may be found during processing. Prompt reconciliation of your service encounters is recommended to allow time to correct and resubmit rejected service encounters within three (3) months from the date of service.

Contacts

Inquiries related to MC EDT or service encounter 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.


To view Portable Document Format PDF files, you will need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe website.

For More Information

Call ServiceOntario, Infoline at:
1-866-532-3161 (Toll-free)
In Toronto, (416) 314-5518
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation : Monday to Friday, 8:30am - 5:00pm