For Ontario physicians billing OHIP
Talk to your patient. Med Copilot writes the note, finds every OHIP code the visit earned, and hands you a claim file for MCEDT.
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One evening diabetes check-in
Billed from habit
A007
The assessment code you always use
$44.55
What the visit earned
K030
Diabetes management
$45.75
Q040
Incentive, third K030 this year
$65.70
+$66.90 on one visit
$111.45
An illustrative visit, not a customer case. Fees per the current Schedule of Benefits; eligibility depends on the patient’s history.
1Record the visit
2Review the note
3Send the claim
20–40%
How much new Ontario physicians underbill, relative to what they’re entitled to.
Source: Physicians First, May 2026. An industry estimate, not a guarantee of recovered revenue.
Today
With Med Copilot
You bill the code you learned in residency.
Every code the visit earned, cited to the Schedule.
The note follows you home.
Drafted seconds after the visit. You review it, you don’t write it.
Incentives expire because nobody is counting.
Counted per patient, with a recall list your front desk can call from.
OHIP’s three-month limit passes unnoticed.
Days left on every unsent claim, oldest first.
A rejection arrives as a code you have to look up.
446 MOH codes in plain English, and whether re-coding can fix it.
Every suggestion comes with a confidence score and the Schedule passage behind it.
It also leaves off what would bounce the claim.
Claim Draft · OHIP
M. Osei
•••• ••• 214
Tue 6:40 PM · Office
K030
Diabetes Management Assessment
$45.75
Flow sheet reviewed, third visit this rolling year — replaces the office visit code.
Q040
Diabetes Management Incentive
$65.70
Third K030 in the rolling 12 months — incentive unlocked and not yet billed.
K030 replaces the office visit code — A007 was left off so the claim doesn’t bounce.
Booked appointment — no special visit premium. OHIP pays one only when the patient asked to be seen urgently.
Billed on habit: $44.55
2 codes found
$111.45
Who is billable today, who to confirm, who to book a recall for, with the dollar value beside each name.
The same count warns you before a fifth K030 goes out.
Continuing-care opportunities
$157.20 available
Tracked patients with a program code open or an incentive unlocked — appointment or not. 24 tracked patients.
Due now
R. Mensah
•••• ••• 482
Q040 unlocked — $65.70 available, not yet billed this window.
Last visit Aug 12, 2026
A. Whitfield
•••• ••• 907
K030 available — 2 of 4 used in the rolling 365 days ($45.75).
Last visit Jun 30, 2026
D. Okonkwo
•••• ••• 135
K030 available — 1 of 4 used in the rolling 365 days ($45.75).
Last visit Apr 2, 2026
Looks eligible — confirm
S. Ibrahim
•••• ••• 361
Looks like diabetes management — diagnostic code 250 on a claim Aug 4, 2026. Track this patient?
Nothing due yet — book the recall
L. Tremblay
•••• ••• 028
K030 limit reached (4 of 4) — next available Mar 12, 2027.
A readiness check names what OHIP would bounce. Attest once per batch, download the file, upload it to MCEDT yourself.
Office and home visits. Hospital, emergency department and long-term-care visits, and split-fee (B/C component) codes, can’t be exported yet — bill those through your usual channel.
Claims
Next OHIP cut-off: Mon, Oct 19 at 5:00 p.m. ET · 4 days
Ready
3
Need fixing
1
Ready total
$201.75
J. Moreau
•••• ••• 214
Jul 24, 2026
—
The patient's date of birth is missing. It is mandatory on every claim.
T. Lindqvist
•••• ••• 650
Aug 11, 2026
$45.75
P. Osei
•••• ••• 389
Sep 2, 2026
$44.55
M. Haddad
•••• ••• 772
Oct 6, 2026
$111.45
Step 1 — Attest
2 claims · $156.00
I attest that the services in this batch were rendered as billed, that the claims are accurate and complete to the best of my knowledge, and that I remain solely responsible for all claims submitted under my billing number.
I have reviewed every claim in this batch and the statement above is true for each of them.
HI123456.001
Exported Sep 17 · 2 claims · $91.50
Ask “can I bill these together?” and get an answer about this patient, quoting the Schedule with the page number.
Check it in seconds rather than trust it.
Asking about R. Mensah’s visit — the assistant can see the claim, the codes it suggested, and anything OHIP sent back.
No — bill K030 on its own. K030 is all-inclusive: the Schedule pays it instead of the visit code, so a visit code on the same claim the same day is payable at nil.
This patient has K030 3 of 4 used in the rolling 12 months, so today’s assessment is billable at $45.75 if the flow sheet is up to date. Their Q040 is already unlocked at $65.70 and hasn’t been billed this window.
Schedule of Benefits — Physician Services
“K030 is all-inclusive and is not eligible for payment in addition to a consultation or visit rendered by the same physician on the same day…”
Fees per the current Schedule of Benefits for Physician Services. Every suggestion is a starting point; review before you submit.
You review every claim and attest per batch.
You upload to MCEDT yourself.
Fees come from the ministry’s Fee Schedule Master, not the AI.
Patient data encrypted at rest and stored in Canada.
How many diabetic patients do you follow?
30
30 × $248.70 (4 × K030 $45.75 + Q040 $65.70)
$7,461
a year available in K030 + Q040 alone
The maximum if every eligible visit is billed; what you’ve already claimed counts against it.
Basic
For solo practitioners
$79
/month
100 encounters a month · or $790/year, 2 months free
Real-time transcription & AI clinical notes
AI OHIP code suggestions, cited to the Schedule
Continuing-care tracking & the recall list
OHIP claim files for MCEDT, with error codes explained
Your 30 patients: up to 9.4× the yearly price
Pro
For high-volume practices
$169
/month
300 encounters a month · or $1,690/year, 2 months free
Everything in Basic, plus:
AI billing chat assistant
AI referral letter drafting
Coming soon: the Billing Agent — we send your claims to OHIP, for 1% of what OHIP pays (max $500 per Remittance Advice)
Your 30 patients: up to 4.4× the yearly price
Card required, cancel anytime — you pick your plan after signing in. Prices are in CAD, plus HST.
Yes. You download the claim file and upload it through MCEDT with your usual ministry account, and OHIP’s reports come back to you there. Our guide walks through it step by step.
Not today. You review each claim, attest once per batch, and upload the file yourself. The Billing Agent (coming soon, Pro, opt-in) will send claims for you as your authorised designee, for 1% of what OHIP pays on the claims it sent, capped at $500 per Remittance Advice.
Office and home visits export today. Hospital, emergency department and long-term-care visits, and split-fee (B/C component) codes, can’t be exported yet — bill those through your usual channel.
You are. Before a batch can be exported you attest to it in these words: “I attest that the services in this batch were rendered as billed, that the claims are accurate and complete to the best of my knowledge, and that I remain solely responsible for all claims submitted under my billing number.” Every suggestion is a starting point for your review.
From the ministry’s Fee Schedule Master, not from the AI. A visit can’t go out in two files.
Upload the Claims Error Report and the codes land on the claim, explained. Correct it and it goes out in your next claim file.
New features and OHIP billing tips, about once a month.
Bill the visit you actually did.
Get product updates and OHIP billing tips
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