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Nothing you bill gets paid until you’re registered with the payer, and the registrations depend on each other — the ministry won’t issue a billing number without a CPSO certificate, and you can’t enrol in MC EDT without the identifiers that arrive with the billing number. Work through them in order. This section covers the setup that happens outside IntelAGENT. Once you have a billing number and EDT access, OHIP Onboarding takes about ten minutes and you’re billing.
Written for physicians starting independent practice in Ontario, in any specialty. It assumes you hold a CPSO Certificate of Registration or are about to.

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What you’ll set up

OHIP billing number

CPSO certificate, practice address, banking — then the ministry application.

EDT access

GO Secure and MC EDT enrolment, the channel every electronic claim travels on.

Federal programs and WSIB

Medavie Blue Cross for IFHP, CAF, RCMP and VAC patients. TELUS Health for WSIB.

Out-of-province patients

Reciprocal billing, the Quebec exception, and UHIP students.

Your first year

How claims actually reach the ministry, and the two habits that pay for themselves.

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The order, and how long each takes

Steps 1 through 4 are sequential — each one needs something the previous one produces. Steps 6 through 8 are independent; start them whenever, and start them early if you’re heading into an ED, a walk-in, or anywhere near a campus.
Processing times stretch in June, July and August, when every graduating cohort applies at once. If you’re finishing training, start step 1 in the winter.

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Where IntelAGENT fits

IntelAGENT is the submission side, not the registration side. You still get your own billing number and your own MC EDT enrolment — they’re yours, in your name. What IntelAGENT does is take the encounter you enter, build the ministry-format claim file, submit it on schedule, pull the remittance advice back, and reconcile what was paid against what you claimed. Under PHIPA you remain the Health Information Custodian; IntelAGENT acts as your agent, which is what the MC EDT designation authorizes.
This section is general information for Ontario physicians, not legal, tax or billing advice. Programs, forms and fees change — confirm current details with the payer before you rely on them.