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Medical Billing (OHIP)

Medical Billing (OHIP)

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Sabrina Da Silva

Students will learn to apply the basic principles of Health Claim billing as outlined in the MOH (Ontario) "Schedule of Benefits" to complete Health Claim cards for manual billing and reconciliation of accounts. In addition, the student will learn to input Health Number billing on a computerized system.

Issued on 05 Jan 2026 by

Medix College

Medix College

Issuer

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Medix College

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Medix College provides healthcare training in Ontario to get you job-ready – fast.

Criteria

By the end of this course, students will learn about the following:

  • How the Ministry of Health (MOH) operates
  • How health claims are processed from patient encounter to receipt of payment
  • The relevant materials and reference information available when preparing and reconciling claims
  • The basic information that is required to complete a patient claim to the MOH
  • The meaning of the MOH codes, prefixes, and suffixes
  • The difference between calls/visits, test/procedures and surgical procedures, and how to locate each in the Schedule of Benefits
  • How to locate diagnosis codes on the diagnosis code list
  • How to prepare billing sheets for patient claims–which are typical of a Family Practice
  • How to complete billing sheets typical of a General Surgeon
  • How to prepare claims for procedures and services using evening and night rates
  • The methods of making the process of HCP billing and reconciliation as efficient as possible
  • How to design an efficient billing and reconciliation system for their particular office environment
  • The process of billing a third party