Ministry Programs

Ontario Health Insurance Plan

Electronic Submission Process

The Ministry of Health (ministry) has created a new electronic process for requesting an OHIP personal claims history (PCH). The new electronic service is fast and easy to use.
Benefits of this service include:

• An email receipt, containing a confirmation number. This is sent to the submitter upon successful submission of the request.
• Improved consent form removes the need for submitting other documents with the request.
• The electronic form streamlines the services offered by the ministry, so Ontarian’s receive their information faster.
• Easy and secure payment options using Visa and Mastercard replaces cheque payments.

Please note the ministry will continue to accept previous versions of the PCH request forms with payment made via cheque until December 31, 2020. Following that date, all requests must be submitted using the new form. Otherwise, the request will be returned for correction.

Information About OHIP Third Party Disclosure Requests

The ministry keeps a record of OHIP claims (also known as a personal claims history). These are paid to and submitted by health care providers using a patient's health card number.

Third-parties (such as law firms and insurance companies) may ask for copies of these records with the proper consent. Please see Consent Form Information to view the form.

What is a Personal Claims History?

A personal claims history is a record of claims paid by OHIP. It lists payments made to health care providers for medical services received by a patient. Only patients with an Ontario health card number can request their personal claims history.

A personal claims history is not a medical record. Medical records about diagnosis and testing are kept by your health care provider. If you want specific details on your medical history, you must contact the health care provider who offered the service.

All requests will be processed within 30 calendar days of being received by the ministry.
There is a mandatory fee of $74 for a Third-Party request.

Helpful Links Related to PCH

• Interpreting a Personal Claims History (PCH)
• Disputing a Claim

Note: In order to process the OHIP third party disclosure request form:

• Health card mailing address must be up-to-date.
• Health card number must match the address on the Consent Authorization Form.

Please contact ServiceOntario to update your address before sending your request (if required).

Consent Form Information

For a third party to ask for the release of health information, they must first get signed consent.
In order to provide this consent, the individual or substitute decision maker must:

• complete the Consent Authorization Form: Disclosure of Personal Claims History Information to a Third-Party form.
• sign the consent form.
• provide the completed form to the Third-Party.

Submission by Electronic Form

The Third-Party can complete the Request for Disclosure of Personal Claims History Information to a Third-Party electronic form. Follow the instruction outlined on page 1 of the electronic form.

Note: The signed Consent Authorization Form must be attached to the electronic Request for Disclosure of Personal Claims History Information to a Third-Party form before sending to the ministry.

Note: Once you click “Submit” at the bottom of the form, you will be sent to the online payment webpage.

• When you click on ‘Submit’ at the bottom of the form, you will be redirected to CCPay, which is an online payment service used by Government of Ontario merchants to facilitate web-based payment requests for goods and/or services ordered by consumers over the Internet. It supports real-time, secure processing of online payment via credit cards (Visa or MasterCard).

Note to Mac/Apple/Mobile users: You will not be able to complete payment for the electronic form using a device with a Mac operating system, smartphone or tablet at this time.

Your application form has not been submitted successfully if you experience one of the following:

• you are not re-directed to the online payment page.
• your payment submission does not go through.
• you do not receive a confirmation email.

Please call 1-800-262-6524, if you have any further questions.

Submission by Mail

If you do not have access to the electronic form, contact 1-800-262-6524 to request a paper copy.

Old form #4891-84 (2014/02) will no longer be accepted beyond December 31, 2020.

A cheque made out to the Minister of Finance covering the mandatory fee of $74 is required for the paper form.

To submit the paper form, please send to this mailing address:

Ministry of Health
Personal Health Information Office
49 Place d'Armes
Kingston, Ontario K7L 5J3