Claim Submission

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Submit a Claim in 30 Seconds

1. Start a new claim
2. Select HRP as the payment program
3. Enter the patient MRN and demographics
4. Confirm service details (date, facility, referring physician)
5. Add a diagnostic code
6. Add billing codes
7. Submit

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Step-by-Step Guide

• Mobile app
• Web portal

1

Open Claims

Tap Claims in the bottom navigation to open the claim entry screen.

2

Enter patient details

Enter the patient’s MRN and demographic details including first name, last name, date of birth, and sex.

For William Osler, select HRP as the payment program at the top of the screen.

3

Confirm service details

Confirm the following service information:

• Service date — defaults to today’s date; tap to change
• Facility — select the William Osler facility (e.g., William Osler HE… - Brampton)
• Referring physician — select if applicable
• Date of admission — enter if the service is related to a hospital admission

4

Add diagnostic code

Select the diagnostic code that explains the clinical reason for the service. You can search by code number or description.

If you don’t see the diagnostic codes you need, go to Settings and press Refresh Cache to update your local data.

5

Add billing code

Enter the appropriate OHIP billing code and adjust units if required. You can tap + Add Billing Code to add additional service codes to the same claim.

Use + Copy Previous Claim to quickly duplicate billing codes from a recent claim.

6

Submit the claim

Review the claim details and the total claimed amount, then tap Submit Claim. You can also tap Save Draft to save the claim and submit it later.

1

Start a new claim

Open Claims in the left sidebar and click New Claim at the top right.

2

Select the HRP payment program

In Patient Information, open the Payment program dropdown and choose Hospital Reimbursement | HRP. You can type to filter the list.The health card field changes to Patient MRN, and the OHIP-only VR field and Validate button disappear — HRP claims are not health-card validated.

3

Enter the patient and service details

Enter the Patient MRN, then First name, Last name, DOB and Sex — none of these fill in automatically for HRP.In Service Information, set:

• Date — the service date; Today, Yesterday and Last claim date are shortcuts under the field
• Facility — the William Osler site; search by name or by its four-digit facility number
• Admission Date — required for in-patients
• Referring Physician — required for consults

The MRN format depends on the service date. For services before 3 October 2026 the MRN is a letter prefix (N, M or E) plus 9 digits, e.g. N123456789. For services on or after that date it is 9 digits with no prefix, e.g. 123456789. The hint under the field always shows the format required for the date you entered.

4

Add a diagnostic code

In Diagnostic Code, search by code number or description and pick the code that best represents the patient’s diagnosis. Your starred codes are under Favourites.

5

Add billing codes

In Billing Codes, search for each service code and select it. The field holds several codes at once, so add every code for the visit before moving on.

Each code you add becomes a row in the table below, where Modifier (percentage) and Units are editable. Claim Total updates as you go, and Suggested Billing Codes offers premiums commonly billed with what you’ve entered.

6

Submit the claim

Check the Claim Total in the bar at the bottom of the page, then click Submit. Save as draft keeps the claim without submitting it, so you can finish it later from the Draft filter on the Claims page.

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After Submission

• The claim status will show as Pending
• At the end of the billing cycle, accepted claims will move to Paid status
• You will receive payment directly from IntelAGENT to the bank account you have set up with William Osler

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Tips

• Double-check the MRN — ensure you have the correct patient medical record number before submitting
• Submit promptly — you have 60 days from the service date to submit your claim
• Use drafts — if you’re unsure about any details, save as a draft and complete later