Overview
The Claims tab is your primary tool for creating and submitting claims on mobile. The streamlined interface is optimized for quick entry.
Tap the Claims tab (first icon) in the bottom navigation.
Creating a Claim
Enter Health Card
Type the 10-digit OHIP health card numberOr tap the camera icon to scan the card
Enter Version Code
Add the 2-character version code
Verify Patient
The app validates the health card automatically. Patient details auto-fill if they exist in your records.
Step 2: Service Details
| Field | Description |
|---|
| Service Date | Tap to select from calendar (defaults to today) |
| Facility | Select from your associated facilities |
| Physician | Auto-filled or select from list |
- Billing Code - Search or select from recent codes
- Quantity - Adjust if more than one unit
- Fee - Auto-calculated based on OHIP schedule
Tap Add Code to include additional billing codes.
Step 4: Diagnostic Code
Select the appropriate diagnostic (ICD) code that justifies the billed services.
Add notes or tags for your reference. These don’t appear on the submitted claim.
Health Card Validation (HCV)
The app validates health cards against OHIP’s HCV service:
| Status | Meaning |
|---|
| Valid | Card is active and eligible |
| Invalid | Card number format is incorrect |
| Expired | Card needs renewal |
| Not Found | Card not in OHIP database |
Claims with invalid health cards will be rejected. Always verify before submitting.
Fee Calculation
Fees are calculated automatically:
- Base fee from current OHIP schedule
- Quantity multipliers
- Complex code calculations (percentages, premiums)
The total appears at the bottom of the form.
Submitting the Claim
- Review all information
- Tap Submit
- Confirm the submission
- View success screen with claim details
Saving as Draft
Not ready to submit?
- Tap Save Draft
- Access later from Records tab
- Filter by “Draft” status
Duplicating Claims
For similar services:
- Tap the copy icon in the header
- Previous claim details are copied
- Modify as needed (patient, date, etc.)
- Submit the new claim
Common Issues
”Invalid billing code”
- Verify the code exists in current OHIP schedule
- Check for typos
- Some codes require specific conditions
”Patient not eligible”
- Verify health card number and version code
- Check service date eligibility
- Patient may need to update their card
