2021 OHIP Cut-off Dates & MCEDT Submission Deadlines
How do OHIP cutoff dates work?
The ministry follows a monthly schedule for processing OHIP claims submitted by physicians. Submissions that are received by the 18th of the month will typically be processed for approval the following month. If the 18th falls on a weekend or holiday, the deadline is moved to the next business day. In December the submission deadline is earlier due to holidays. It’s typically the 13th of December.
What are the OHIP cutoff dates for 2021?
I’m new to medical billing, where do I start?
When should I submit claims in your system to ensure they will be transmitted by the deadline?
We recommenda that you submit all your claims on the day before the cut-off date to guarantee the claims are transmitted to the MoH before the deadline.
When will I be paid if I submit billings by the cut-off dates?
Payments will be directly deposited into your bank account by the MoH on the 10th business day of the following month. For example, the claims you submitted by March 18 that are approved will be paid on April 14. Here are the expected payment dates for the rest of the year.
What’s the best way to manage my OHIP claims?
Creating a weekly routine is an ideal way to manage your claims. Each week of the month you’ll want to focus on specific aspects of the billing cycle as this will help you get paid on time and reduce stale-dated claims.
|1||Your payment reports arrive early this week. Go into MDBilling.ca, download your reports and reconcile. You may need to resubmit claims, follow up with patients, etc. For more guidance, check out our DIY reconciliation manual.|
|2||You should try and keep up with claims submissions daily. But if you have a backlog, spend this week submitting claims so that you can submit as many as possible prior to the 18th.|
|3||18th of every month: OHIP submission deadline. Everything submitted up until this point will be processed in the current payment cycle. And will show up in MDBilling.ca’s “Claims Summary Payment” for next month. All claims processed after this date will show in next month’s “Unprocessed Report” for next month. Continue submitting claims, reconciling any missing pieces from the last month.|
|4||This week is your catch-up time. You’ll be getting rejections on an ongoing basis. (approximately 2 business days from submission) and you will get a notification by email. Aim to try to fix these rejections every week, but if you have a backlog, try to finish dealing with them this week. For more guidance, check out our OHIP error code library.|