Overview

The Ministry of Health (MOH) and the Ontario Medical Association (OMA) have jointly established the Education and Prevention Committee (EPC). The EPC’s primary goal is to educate physicians about submitting OHIP claims for payment for the insured service provided.

EPC Billing Briefs are provided for education and information purposes only.

While the OMA and MOH make every effort to ensure that EPC Billing Briefs are accurate, the Health Insurance Act (HIA) and its Regulations prevail over anything stated in an EPC Billing Brief. Changes in applicable statutes, regulations, or case law may affect the accuracy or currency of the information provided in an EPC Billing Brief. In the event of a discrepancy between an EPC Billing Brief and the HIA or its Regulations and/or Schedule under the regulations, the text of the HIA, Regulations and/or Schedule prevail.

Contents

General guidance

Postgraduate Medical Trainees

Specific fee codes

Virtual Care

Resources for Physicians

Visit Resources for Physicians for more learning materials that will help physicians bill OHIP. 

French language exemption

Education and Prevention Committee Billing Briefs are exempted from translation under the French Language Services Act as per Ontario Regulation 671/92.

Feedback

Your feedback is welcome and appreciated. To provide feedback on EPC Billing Briefs, or to suggest topics for future EPC Billing Briefs, send an email to info@oma.org to the 
attention of the joint Ministry of Health and OMA Education and Prevention Committee.