This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. By choosing an option, completing and submitting this application, health care professionals will be able to do one of the following:
- Register for an Ontario Health Insurance Plan (OHIP) billing number in order to begin submitting claims for insured services;
- Register a health care group consisting of currently licensed health care professionals;
- Authorize the ministry to make payments directly to a health care group on behalf of a currently licensed health care professional;
- Update address information, banking information, and/or group information for currently licensed health care professionals or currently registered health care groups;
- Register for the Interactive Voice Response (IVR) system to verify Health Cards using a touch tone phone;
- Register for the Social Assistance Verification (SAV) Portal for providers to verify a patient's eligibility for the Ontario Disability Support Program (ODSP) including Assistance for Children with Severe Disabilities (ACSD) and Ontario Works including Temporary Care Assistance (TCA) and M'Chigeeng First Nation only.
Fields marked with an asterisk () are mandatory.
The online application is to be completed by health care professionals applying for an Ontario Health Insurance Plan (OHIP) billing number to submit claims to the Ministry of Health (the ministry) for insured services.
To apply for an OHIP billing number you must:
- Hold a valid Certificate of Registration with a governing body,
- Have an Ontario practice address, and
- Provide banking information to support direct payment
Monthly payments for your claim submissions will be issued electronically directly to your bank account. You must attach an electronic copy of a VOID cheque or bank-issued direct deposit form to this submission.
The following provider types do not require banking information to be submitted: Midwives, Chiropractors, Aboriginal Midwives, and Nurse Practitioners.
Note: The ministry requires 30 days advance notice of any changes to your banking information or practice address(es). You can notify the ministry of these changes by completing a "Change of Address Information or Banking Information for Health Care Professionals or Health Care Groups" electronic form.
For more information about completing this application and/or applying for an OHIP Billing Number, contact CSB Connects by email: SSContactCentre.MOH@ontario.ca or by calling 1-800-262-6524.
Fields marked with an asterisk () are mandatory.
In order to obtain OHIP Billing Number with the ministry, you must hold a valid licence with the governing body. If you hold an educational licence, you are not eligible to apply for an OHIP billing at this time.
Ontario Practice Addresses (Note: PO box and R.R. numbers are not acceptable.)
Proof of your practice address may be required. Practice addresses are not considered personal information as defined under the Freedom of Information and Protection of Privacy Act and may be disclosed pursuant to that Act. As such, it is recommended that your residential address and personal cell phone not be provided.
Mandatory Practice Address Reporting - Ontario Regulation 57 /97 made under the Health Insurance Act requires that physicians provide, in writing, to the General Manager, an address for every place they regularly provide insured services to insured persons in Ontario. In addition to each address, it must be stated whether services are provided as a locum tenens and/or whether the only services provided are delegated procedures, as defined in the Schedule of Benefits, carried out under direct supervision of the physician. Provisions governing delegated procedures can be found in the General Preamble section of the Schedule of Benefits located at: https://health.gov.on.ca/en/pro/programs/ohip/sob/physserv/genpre.pdf.
Where multiple addresses exist, please identify, where possible, which one is the primary practice site. You must give the ministry at least 30 days advance notice of any changes to your address information referred to below. Supporting documentation may be requested to validate the address information provided.
Primary Practice Address - the site at which the majority of insured services is expected to be provided.
Additional Site Address - any additional site at which insured services are expected to be provided.
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
Your claims must be submitted through the ministry's electronic data transfer service as per the Health Insurance Act Ontario Regulation 552, Section 38.3. The ministry will send you a letter confirming your registration and your OHIP billing number. This letter will also contain information on Medical Claims Electronic Data Transfer (MCEDT) and Health Card Validation methods.
In order to receive electronic funds transfer payments from the Ontario Ministry of Health, we request that you please attach a valid and up-to-date electronic copy of a Void Cheque or a Bank-Issued Direct Deposit Form by selecting the "Browse" button below.
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
All individuals applying for a new OHIP Billing Number with the Ontario Ministry of Health must complete, sign and attach the"Authorization and Consent Form" to this application using the "Add File" button below.The "Authorization and Consent Form" can be accessed by clicking on the following link: Authorization and Consent Form
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57/97. The information will be used to authorize the ministry to make payment to the named group and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4K5, by telephone: 1-800-803-0104 toll free in Kingston, 613-548-4049 or by email: IMsupport@ontario.ca.
I declare the information provided to be true and I consent to allow the Ministry of Health to verify, with other sources, all information I have provided in this application. These sources may include, but are not limited to, the Governing Body of my related Health Profession (e.g. College of Physicians and Surgeons of Ontario, College of Midwives of Ontario) and the medical school(s) and hospitals indicated in my application.
I understand that in applying for and subsequently receiving my OHIP billing number(s) that I am subject to the provisions of the Health Insurance Act and Regulations under the Act. I am responsible to read and understand the information, including but not limited to:
INFOBulletins related to payment policy
www.ontario.ca/document/ohip-infobulletins-2023
Schedule of Benefits
https://www.ontario.ca/page/ohip-schedule-benefits-and-fees
Regulation 57 /97 under the Health Insurance Act
https://www.ontario.ca/laws/regulation/970057
Regulation 552 under the Health Insurance Act
https://www.ontario.ca/laws/regulation/900552/v2
I understand that it is my responsibility to comply with the Health Insurance Act and Regulations under that Act, including, in the case of physicians, the Schedule of Benefits and that all claims must be submitted in accordance with that Act and Regulations thereunder. I acknowledge that only claims for services provided by me may be submitted under the OHIP billing number(s) assigned to me and that I am solely responsible for the veracity of those claims, regardless of who may prepare and/or submit claims for those services on my behalf and regardless of to whom the payment is made.
It is a provincial offence to contravene the Health Insurance Act or any Regulations under that Act.
I understand that as a health information custodian I am required under the Personal Health Information Protection Act, 2004, to take steps that are reasonable in the circumstances to ensure that personal health information in my custody and control is protected against theft, loss and unauthorized use or disclosure and to ensure that the records containing that information are [protected against unauthorized copying, modification or disposal.
I further understand that this obligation applies in connection with personal health information that I receive from or submit to the ministry in connection with OHIP billings.
For more information, or if you have any questions about this application, please contact the ministry's Service Support Centre by email: SSContactCentre.MOH@Ontario.ca or by calling 1-800-262-6524.
This application is to be completed by currently licensed health care professionals requesting designation as a group and will authorize the Ministry of Health (the ministry) to make payment directly to the Group named below for services provided on behalf of the Group.
A health care professional is eligible to join a group as long as:
- The health care professional has a current Certificate of Registration to practise in Ontario, and
- Has already registered for an OHIP Billing Number with the ministry.
Note: The ministry must be notified of any changes to the group no less than sixty (60) days prior to this change. You can notify the ministry of these changes by completing a "Provider Registration/Change Request Form" electronic form.
A designated Group Administrator must complete the application on behalf of the Group. The Group Administrator must be authorized by the Group Members to submit the information to be provided, including personal information, if any, on their behalf.
Fields marked with an asterisk () are mandatory.
Note: The Group Name selected is subject to ministry approval and should reflect the type of services that will be provided.
The Master Number Index is available at:
https://www.ontario.ca/page/ministry-reports-master-numbering-system
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
Provider Group on on file?
Note: Each group member must be a currently licensed health care professional. There must be a minimum of two group members in a group.
In order to receive electronic funds transfer payments from the Ontario Ministry of Health, we request that you please attach a valid and up-to-date electronic copy of a Void Cheque or a Bank-Issued Direct Deposit Form by selecting the "Browse" button below.
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57/97. The information will be used to authorize the ministry to make payment to the named group and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4K5, by telephone: 1-800-803-0104 toll free in Kingston, 613-548-4049 or by email: IMsupport@ontario.ca.
As Group Administrator I confirm and agree that I have been authorized by the Group Members to submit the information provided, including personal information, if any, on their behalf.
I understand that it is my responsibility to comply with the Health Insurance Act and Regulations under that Act, including, in the case of physicians, the Schedule of Benefits and that all claims must be submitted in accordance with that Act and Regulations thereunder. I acknowledge that only claims for services provided by me may be submitted under the OHIP billing number(s) assigned to me and that I am solely responsible for the veracity of those claims, regardless of who may prepare and/or submit claims for those services on my behalf and regardless of to whom the payment is made.
It is a provincial offence to contravene the Health Insurance Act or any Regulations under that Act.
I understand that as a health information custodian I am required under the Personal Health Information Protection Act, 2004, to take steps that are reasonable in the circumstances to ensure that personal health information in my custody and control is protected against theft, loss and unauthorized use or disclosure and to ensure that the records containing that information are (protected against unauthorized copying, modification or disposal.
I further understand that this obligation applies in connection with personal health information that I receive from or submit to the ministry in connection with OHIP billings.
I declare the information provided to be true and I consent to allow the Ministry of Health to verify, with other sources, all information I have provided in this application. These sources may include, but are not limited to, the Governing Body of my related Health Profession (e.g. College of Physicians and Surgeons of Ontario, College of Midwives of Ontario) and the medical school(s) and hospitals indicated in my application.
I am responsible to read and understand the information, including but not limited to:
INFOBulletins related to payment policy
http://www.ontario.ca/document/ohip-infobulletins-2023
Schedule of Benefits
https://www.ontario.ca/page/ohip-schedule-benefits-and-fees
Regulation 57 /97 under the Health Insurance Act
https://www.ontario.ca/laws/regulation/970057
Regulation 552 under the Health Insurance Act
https://www.ontario.ca/laws/regulation/900552/v2
All Group Members will receive an email confirmation of this application form.
For more information, or if you have any questions about this application, please contact the ministry's Service Support Centre by email: SSContactCentre.MOH@Ontario.ca or by calling 1-800-262-6524.
This form will authorize the Ministry of Health (the ministry) to register a currently licensed Physician/Practitioner for the Group identified below and to authorize payment directly to the Group. If you are joining more than one group, please add the group information for each group where you will be providing services on behalf of.
Fields marked with an asterisk () are mandatory.
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57/97. The information will be used to authorize the ministry to make payment to the named group and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4K5, by telephone: 1-800-803-0104 toll free in Kingston, 613-548-4049 or by email: IMsupport@ontario.ca.
I hereby authorize the ministry to make a payment to the Group for services provided by me on behalf of the Group. I understand that the monthly Group Remittance Advice will be issued directly to the Group.
I understand that only services provided by me personally or delegated by me in accordance with the Schedule of Benefits will be billed under my OHIP billing number.
I understand that I must notify the ministry in writing of my intent to terminate my affiliation with the group o less than sixty (60) days before the effective date of termination of the affiliation.
I provide my consent for the ministry to communicate with and disclose personal information to the Group Administrator on my behalf.
For more information, or if you have any questions about this application, please contact the ministry's Service Support Centre by email: SSContactCentre.MOH@Ontario.ca or by calling 1-800-262-6524.
This application is to be completed by Health Care Professionals and/or Health Care Group Administrators who wish to update/change their registration information, including:
- Health Care Professionals registering for direct bank payment with the Ministry of Health (the ministry)
- Health Care Professionals and Health Care Groups interested in updating banking information
- Health Care Professionals interested in updating address information (Primary Practice Address, Additional Site Address(es), and Mailing Address).
- Health Care Groups interested in updating their Group Name.
- Health Care Groups interested in updating their Group Administrator Information.
Note: You must give the ministry at least 30 days advance notice of any changes to your address information.
Fields marked with an asterisk () are mandatory.
In order to receive electronic funds transfer payments from the Ontario Ministry of Health, we request that you please attach a valid and up-to-date electronic copy of a Void Cheque or a Bank-Issued Direct Deposit Form by selecting the "Browse" button.
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
In order to receive electronic funds transfer payments from the Ontario Ministry of Health, we request that you please attach a valid and up-to-date electronic copy of a Void Cheque or a Bank-Issued Direct Deposit Form by selecting the "Browse" button below.
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
Statement: If you are registered with a FHO, please ensure that you notify the Primary Health Care Branch of your change of address, at : primarycareinquiries@ontario.ca.
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
This mailing address will be used for all mail sent by the ministry
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
Two authorized signatures are required if the application is for a group with two or more members.
One of the signatures will be accepted from a non-group member (i.e. a group administrator). The other signature must be from a group member with an active OHIP billing number.
Note: Each of the below listed individuals must complete an Authorization and Consent Form, sign it, and attach it to this application using the "Add File" buttons below.
The "Authorization and Consent Form" can be accessed by clicking on the following link: Authorization and Consent Form.
To attach supporting documents, click the "Browse" button. Most common file types (e.g., Word, PDF, JPEG files) are acceptable excluding video or audio files due to their file size. The total file size of all attachments is limited to 13 MB.
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57 /97. The information will be used to update your registration information and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4KS, by telephone: 1-866-803-0104 toll free and in Kingston, 613-548-4049 or by email: lmsupport@Ontario.ca.
For more information, or if you have any questions about this application, please contact the ministry's Service Support Centre by email: SSContactCentre.MOH@Ontario.ca or by calling 1-800-262-6524.
The Ontario Ministry of Health is pleased to offer the Interactive Voice Response (IVR) system to verify Health Cards using a touch tone phone. You will be able to enter a 1-800 or local number, key in the Health Number/Version Code to be verified, and receive a reply indicating the status of the information entered. There is no charge for this service. You will receive your Personal Identification Number (PIN) and a User Manual. This service is available in accordance with the August 1993 OMA/MOH Agreement.
To register for IVR access, complete this application and submit.
Fields marked with an asterisk () are mandatory.
(if necessary, continue to select the Postal Code Lookup button until your correct street name is shown or complete the address fields with the correct information)
- Your PIN is for your use or persons designated by you
- It is your responsibility to ensure that the PIN is used only for the purpose of Health Card Validation
- Misuse of this PIN could result in the termination of your participation in the IVR service
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57 /97. The information will be used to update your registration information and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4K5, by telephone: 1-866-803-0104 toll free and in Kingston, 613-548-4049 or by email: lmsupport@Ontario.ca.
For more information, or if you have any questions about this application, please contact the ministry's Service Support Centre by email: SSContactCentre.MOH@Ontario.ca or by calling 1-800-262-6524.
The information collected on this form will support access to the Social Assistance Verification (SAV) Portal.
- Please complete this form if you have an optometry practice that will require access to the SAV Portal in order to confirm the eligibility status of your patients, who may be in receipt of social assistance health benefits.
Fields marked with an asterisk () are mandatory.
The ministry's collection of the personal information on this form is authorized under the Health Insurance Act, R.S.O. 1990, c. H.6, section 4.1, and Ontario Regulation 57/97. The information will be used to authorize the ministry to make payment to the named group and to verify and monitor your eligibility for payment. It will also be used for health systems planning and coordination purposes. For information about this collection, contact the Director, Health Data Branch, Health System Information Management and Investment Division, Ministry of Health, 5700 Yonge Street, 4th Floor, Toronto ON M2M 4K5, by telephone: 1-800-803-0104 toll free in Kingston, 613-548-4049 or by email: IMsupport@ontario.ca.
The billing number is only required for the purposes of verification and will be collected by the Ministry of Community and Social Services for the purpose of administration of the Social Assistance Verification Portal. For more information about this collection by this Ministry, contact: SAVPortalSupport@ontario.ca.
The Ministry of Community and Social Services may also use your information for internal audit purposes related to the administration of the social assistance health benefits, to conduct policy analysis, evaluation and research purposes. By signing this form, you consent to the collection and storage of your contact information to verify your application and access to the SAV Portal.
Note: To make changes to the information below, please click the “Back” button (at the top of this page) to access previous pages or “Edit Section” to make corrections.