OHIP Medical Billing Support
Reduce administrative workload, improve accuracy, and keep your clinic running smoothly with expert bookkeeping and OHIP billing agent.
Request a Call Back
OHIP Medical Billing Services
Reduce OHIP claim errors, accelerate payments, and eliminate the stress of managing OHIP billing in-house.
- OHIP claim submission
- Error checking and rejection reduction
- Claim reconciliation
- Revenue reporting
- Third Party Billing
- Specialized support for complex billing codes
- Support with Manual Review Submissions
Fewer rejected claims
Faster processing
More revenue captured
OHIP Medical Billing For
Clinic owners
Multi-Location Clinics
Physiotherapists
Chiropractors
Physicians
Dental
Dermatology
Allied Health Practices
Family Medicine
Pharmacy
Bookkeeping Services
Keep your finances organized, compliant, and stress-free with bookkeeping tailored specifically for healthcare professionals and practices.
- Monthly bookkeeping
- Financial statements & reporting
- Payroll for clinic staff
- Expense tracking
- Year-end preparation
Focus on Patients,
We Handle the Administrative Side
Efficiency.
Save hours currently lost to administrative tasks.
Accuracy.
Reduce OHIP claim rejections and submission errors.
Clarity.
Maintain clean, organized financial records.
Insight.
Gain clear visibility into your clinic’s financial performance.
Recovery.
Capture revenue from missed or unsubmitted claims.
Readiness.
Stay prepared for tax season without the stress.
Protection.
Strengthen compliance with healthcare financial regulations.
Why Choose Us
More reliable than software-only solutions
1
Deep experience with Ontario medical clinics
2
Transparent pricing
3
Accuracy-first process
4
Scalable for clinics of any size
5
Seamless transition from your current system
6
Secure, PHIPA-compliant handling of information
7
Start With a Complimentary Consultation
FAQs
How do you reduce rejected or denied OHIP claims?
We proactively identify and address common billing errors before submission, significantly reducing preventable rejections. Our team closely monitors all rejected claims, corrects them promptly, and resubmits with the appropriate documentation.
We stay continuously up to date on OHIP Schedule of Benefits changes and billing bulletins. In addition, we maintain strong working relationships with billing analysts at both the Ontario Medical Association (OMA) and the Ministry of Health (OHIP), allowing us to seek clarification and guidance when complex or ambiguous billing issues arise. This proactive approach leads to cleaner submissions, faster payments, and improved cash flow for your practice.
Do you help identify missed billing opportunities or errors in our current process?
Yes — this is one of the most common areas where practices unknowingly leave revenue on the table.
We analyze your historical billing patterns to identify:
- Under-billed or missed codes
- Incorrect use of premiums, modifiers, or time-based codes
- Workflow gaps that lead to lost or delayed billings
When uncertainty exists around specific codes, we seek guidance directly from OHIP and OMA billing analysts to ensure recommendations are defensible, compliant, and accurate. Our goal is to ensure your practice is fully compensated for the care you provide — without introducing unnecessary audit risk.
How do you handle complex surgical/procedure billing codes for specialists?
Our billing team is experienced with specialist-specific codes, including premium, surgical/procedural, and time-based billings.
Many physicians stop billing certain services after initial rejections. Our approach is different. We:
- Review the Schedule of Benefits in detail
- Confirm documentation requirements
- Clarify coding interpretation with OHIP when needed
- Rectify and resubmit rejected claims appropriately
If billing is done correctly and supported by proper documentation, there is no reason revenue should be forfeited. We ensure the details are addressed so your practice is compensated for the services you are entitled to bill.
What happens if there is an OHIP audit or request for additional information?
We support your practice throughout the entire audit or review process. This includes:
- Organizing required records and documentation
- Preparing billing summaries and explanations
- Assisting with communications to OHIP
Given our experience with OHIP and CRA audits, we have successfully helped clients navigate these processes with minimal disruption. Importantly, we also implement corrective systems and controls to reduce the likelihood of future reviews or from reviews to happen in the first place!
Can you support practices with multiple locations or multiple providers?
Yes. Our systems and workflows are designed to support:
- Multi-site practices
- Group practices with multiple providers
- Blended funding models and mixed service lines
We ensure consistency, transparency, and reporting clarity across all locations and providers.
Do you provide support for third-party insurance billings as well?
Yes. We work with major insurers including Sun Life, Manulife, Medavie Blue Cross, Green Shield, and others.
We can:
- Support and train your administrative team on best practices
- Oversee third-party billing workflows
- Assist with insurer inquiries, reconciliations, and follow-ups
This ensures claims are submitted accurately, paid promptly, and reconciled properly.
Will I have a dedicated person, or is this handled through a call centre or software?
You will have direct, local support — not a call centre.
Your engagement is overseen by MAP’s Corporate Controller, who serves as your primary point of contact. Behind them is a dedicated team of billing specialists and accounting professionals working collaboratively on your practice. You will always know who you are working with and have access to real people who understand your practice.
How secure is my patient and financial information?
Data security and confidentiality are non-negotiable.
We use secure systems, encrypted communication, and strict access controls. All processes are compliant with PHIPA and applicable Ontario privacy regulations. Access to information is limited to authorized personnel only.
How often will I receive financial statements?
We provide monthly financial statements, not just year-end reports.
Many practices only see their numbers once a year — often too late to make meaningful changes. We believe timely, accurate data is power. Monthly reporting allows you to:
- Understand the financial health of your practice
- Make informed operational decisions
- Evaluate the financial impact of staffing, scheduling, or expansion decisions
It also makes year-end tax filing faster, smoother, and more cost-effective.
Do you support healthcare professionals with year-end and taxes?
Yes. We assist incorporated healthcare professionals and practice owners with:
- Year-end financial statement preparation
- Clean, organized records for tax filing
- Coordination with your external accountant
We do not replace your accountant. Instead, we work collaboratively to ensure your advisor can provide the most effective advice possible — reducing billable time, minimizing surprises, and improving outcomes.
Can you integrate bookkeeping with billing data?
Yes — this is a major advantage of working with MAP.
By integrating billing activity with your bookkeeping and financial reporting, we provide a more accurate and meaningful view of practice performance. This allows us to:
- Identify revenue trends
- Monitor collections and aging
- Tie operational activity directly to financial results
Do you help improve cash flow and financial efficiency?
Absolutely. Through better billing workflows, timely submissions, reconciliations, and regular financial reporting, we help practices:
- Reduce delays in collections
- Improve predictability of cash flow
- Identify cost inefficiencies and opportunities for optimization
Who is this service best suited for?
Our bookkeeping and billing services are ideal for:
- Solo and group physician practices
- Dental and specialty practices
- Pharmacies and allied health clinics
- Practices looking to grow, stabilize, or prepare for transition
Whether you are early in your practice journey or planning for long-term succession, our services scale with you.
Simplify Your Clinic’s Workload Today
Our team ensures accurate OHIP submissions, clean financial records, and maximized revenue so you can focus on care.