This webpage is an introduction to the Medical Claims Electronic Data Transfer (MC EDT) Service. It contains the MC EDT Reference Manual and Procedure Summaries which include instructions on how to register for a GO Secure account, enrol in MC EDT and cut-off dates for claims submission.
The Ministry of Health and Long-Term Care (MOHLTC), Medical Claims Electronic Data Transfer (MC EDT) service is a secure method of transferring electronic files to and from an authorized MC EDT user and the ministry. It is compliant with the Government of Ontario Information Technology Standards and the Personal Health Information and Protection Act for the handling of personal health information. The MC EDT service is a web enabled service that can be accessed using an Internet connection.
The MC EDT service is available seven days a week on a 24 hour basis with the exception of weekly scheduled system maintenance, Sunday mornings between the hours of 1:00 am to 5:00 am and Wednesday mornings between the hours of 5:00 am to 8:00 am.
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There are two (2) ways to use this service, a manual web page and an automated web service.
MC EDT Web User Interface (Web Page)
The web page is a simple web-user-interface that provides the basic upload and download functions to submit and retrieve files one at a time. This does not replace your billing software but if your current billing software is fully automated you will need to discuss an upgrade with your vendor.
The web page is not intended for use with automated billing programs or scripts, but you still need billing software to create your claim files. Attempts to automate web page functions are strongly discouraged since the user interface is subject to change without notice and the ministry is unable to support applications that are sensitive to the layout of MC EDT screens.
MC EDT Web Service
The web service allows Electronic Medical Records (EMR) systems or integrated billing software to provide automated interfaces to initiate multiple concurrent uploads and downloads.
Specialized software will be required to use the web service. Contact your vendor and refer to Section 8, Technical Specifications and Section 9, Conformance Testing.
Medical Claims Electronic Data Transfer Reference Materials
The Medical Claims Electronic Data Transfer Reference Manual is available for download below.
Terms You Should Know Before You Start
|Challenge Questions||There are 3 security questions and answers that you pick during registration for Government of Ontario (GO) Secure. These will be used to identify you, should you forget your password and need to reset it. Write these down.|
|Designee||The person (e.g. billing agent, support staff) a health service provider designates to upload claims and download reports on their behalf.|
|GO Secure||A GO secure system that allows (Broader Public Sector) users to create and use an account to access Ontario Public Service online services through the Internet. You must register for a GO Secure account to be able to enrol and access Medical Claims Electronic Data Transfer (MC EDT).|
|GO Secure ID||The identification (ID) - your email address - that you use to sign onto GO Secure whenever you want to access the MC EDT service.|
|Internet Browser||A software application or program used to enable users to access, retrieve, displays documents and other resources (web pages, images, or video) on the Internet. Some examples of browsers are Internet Explorer, Mozilla Firefox and Google Chrome.|
|MC EDT Web Page||The web page is a non-automated simple web user interface for health care providers. This interface; provides the basic upload and download functions to submit and retrieve files one at a time.
It is best suited for users who do not have integrated billing software or Electronic Medical Record (EMR) systems and have low claims volumes.
|MC EDT Web Service||The web service is a web-user-interface that allows Electronic Medical Records (EMR) systems or integrated billing software to provide automated interfaces to initiate multiple concurrent uploads and downloads. Specialized software will be required to use the web service. Contact your vendor.|
|Permissions||Functions within MC EDT that a health service provider can delegate to another person, such as upload claims, download reports. Assigning permissions is the last step for designating a staff member to work on the health service provider's behalf.|
|Shared Secret||Like a Personal Identification Number (PIN) number, a string of characters and numbers, that GO Secure automatically generates and emails to the health service provider after they have added a designee. The designee must use the "shared secret" to accept the first time designation.|
|Unique Identifiers||Found in the ministry letter that is sent to all health service providers before beginning the registration process. You will be required to key these, once only, during your MC EDT enrolment session. Current EDT users receive 3 unique identifiers in their letter. New health service providers will receive 2 unique identifiers.|
Medical Claims Electronic Data Transfer Reference Manual
Medical Claims Electronic Data Transfer Reference Manual
214 pages | 5.2 Mb | PDF
MC EDT Best Practices
MC EDT Procedure Summaries
Overview of First Time Designee Procedures for MC EDT
1 page | 1 Mb | PDF
Overview of Previously Registered Designee for MC EDT
1 page | 1 Mb | PDF
MC EDT Browser Bookmark Instructions
MC EDT Upload/Download files in web browsers
All possible measures are exerted to ensure accuracy of the contents of this manual; however, the manual may contain typographical or printing errors. The public is cautioned against complete reliance upon the contents hereof without confirming the accuracy and currency of the information contained herein. The Crown in Right of Ontario, as represented by the Ministry of Health and Long-Term Care, assumes no responsibility for any person's use of the material herein or any costs or damages associated with such use.
2016/2017 Cut-Off Dates for MC EDT Claim Submissions
Claim submission files received by 5:00 p.m. on the following dates are the only submissions that the ministry can assure for payment the following month:
|January 18, 2016||June 20, 2016||November 18, 2016|
|February 18, 2016||July 18, 2016||December 12, 2016*|
|March 18, 2016||August 18, 2016||January 18, 2017|
|April 18, 2016||September 19, 2016||February 20, 2017|
|May 18, 2016||October 18, 2016||March 20, 2017|
* It is recommended that claim submissions be submitted by December 12, 2016 due to the holidays.
Medical Claims Electronic Data Transfer (MC EDT) claim submission files received after the cut-off dates may be processed until the ministry's month-end cut-off date, where time and volume permits.
Claims received by the 18th of the month will typically be processed for payment by the 15th of the following month. When the 18th falls on a weekend or holiday, the deadline will be extended to the next business day. However, if time and volumes permit, EDT claims received after the 18th will be processed for payment. Claims received after the 18th of the month may not be processed until the next billing cycle.
The ministry recommends that claim files be submitted weekly.
All possible measures are exerted to ensure accuracy of this information; however, it may contain typographical errors. The public is cautioned against complete reliance upon the contents hereof without confirming the accuracy and currency of the information contained herein. The crown in Right of Ontario, as represented by the Minister of Health and Long-Term Care, assumes no responsibility for any person's use of the material herein or any costs or damages associated with such use.
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