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The full claim form is for the visit that doesn’t fit a roster or an import — a consult, a one-off, anything that needs more than a code and a date. Open it with New Claim, top right of any screen.

Start with the health card

Enter the Health Card Number and VR (version code), then Validate. For OHIP patients that one step fills in first name, last name, date of birth and sex from the Ministry’s own record, so you aren’t transcribing a card and you aren’t guessing at a spelling. It also confirms the card is currently eligible, which is the single most common reason a claim comes back rejected. The Payment program dropdown is what tells IntelAGENT who is paying. OHIP is the default; RMB, WSIB and private claims are also available, and the fields adjust to what that payer needs.
Validate before you code. A card that fails here would have failed at the Ministry weeks later — better to find out while the patient is still in front of you.

Fill in the service

Service Date is the only always-required field on this panel. The rest depend on what you’re billing: The Today / Yesterday / Last claim date shortcuts under the date fields are worth the habit — most claims are for today or yesterday, and Last claim date repeats whatever you billed last, which is what you want when you’re working through a stack from the same day. If the referring physician isn’t in the list, Add New Physician adds them without leaving the claim.

Diagnosis and codes

Add the Diagnostic Code that best represents why you saw the patient, then the Billing Codes for what you did. Both fields search as you type. Beside each is a Favourites link. These are your own shortlists — the codes you actually bill, one click away instead of a search. Manage edits them. If you find yourself typing the same code repeatedly, put it in Favourites and stop typing it. Once codes are added, quantity, time and fractional percentages are editable directly in the table beneath, for the codes where those matter.

Submit, or don’t

The Claim Total at the bottom updates as you add codes — a check on whether the visit is worth what you expected before it goes anywhere.
  • Submit queues the claim for the next run to the Ministry.
  • Save as draft keeps it in Claims, untouched and editable, for when you’re missing something you’ll have later.

Billing the same thing again

For a repeat visit, don’t start here. Find the earlier claim in Claims and use its Copy action — it carries the patient, codes and diagnosis over, and you change the date. If a claim comes back refused, see Fix a rejected claim.