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Payment Process

The payment process for William Osler hospital reimbursement follows a monthly cycle. Here is how claims move from submission to payment.
1

Claim Submission

You submit claims through the IntelAGENT mobile or web app during the billing period. Each billing cycle runs from the 1st to the last day of the calendar month.
2

Review and Validation

At the end of the billing period, all submitted claims are reviewed and validated. This process ensures accuracy of billing codes, rates, and patient eligibility.
3

Physician Payment

IntelAGENT pays physician amounts net of agreed-upon fees directly to the bank account you have on file.

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Fee Schedule

Billing rates are based on the OHIP Schedule of Benefits for Physician Services. IntelAGENT keeps rates up to date with changes from the Ministry of Health and the MOHLTC/OMA arbitration agreements, including relativity adjustments for each specialty.

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Billing Cycle Timeline

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Claim Statuses

You can track the progress of your claims through the app:

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Reports

IntelAGENT provides reports to support transparency and reconciliation:
  • Monthly billing summaries
  • Ad hoc reports

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Banking Information

Payment is made directly to the bank account you have on file. You can add or update this account yourself from Settings on the web portal or mobile app — a $0.01 test deposit confirms the new account before payments resume. See Updating Your Bank Account for step-by-step instructions.

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Insurance Status Changes

If a patient’s insurance status changes (e.g., they become insured), a process is in place so that an OHIP submission can be made by the responsible physician within the 3-month deadline.