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Ontario Health Insurance Plan

OHIP Bulletins


OHIP Technical Bulletin

Ensuring excellence in claims service delivery for Ontarians

To:  OHIP Billing Software Vendors

Published by:   Claims Services Branch

Date Issued:  September 12, 2017

Bulletin Number:  17-006

Re:  Updated Version of the Technical Specifications for Reports sent via MCEDT

Posted Electronically Only

PDF Version Portable Document Format | 232 Kb


The Technical Specifications for Reports sent via Medical Claims Electronic Data Transfer (MCEDT) has been updated.  This manual was formerly known as the Technical Specification for OHIP Payment Report Summary and OHIP Roster & Capitation Payment Reconciliation Reports.

The following changes have been made to the OHIP Roster & Capitation Payment Reconciliation Report:

  1. Removed complex vulnerable capitation payment column
  2. Added a consent status column
  3. Added a legend detailing consent status codes at the bottom of the report

Specifications for the new electronic Detail Categorization of Claims Report have been added to the manual.

This is advance notification for the upcoming reports specification changes which will be implemented in the fall of 2017. Updated communications will be provided closer to the implementation date.

The technical specification document is posted on the Ministry of Health and Long-Term Care’s website.

If you have any questions please contact the Service Support Contact Centre at 1 800 262-6524


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