Form completed to request exemption, i.e., no photo to appear on photo health card
Claim card used by physicians to receive reimbursement for reciprocal claims
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Form that Interdisciplinary Health Providers will complete and sign agreeing to conform to ministry's technical specifications for claims submission in MRI
form submitted with claims to provide additional information regarding particular claim
form placed on top of bundles of primary care forms, to submit to ministry for processing.
Form submitted to ministry to obtain Health Number of patient when not available
form used for out-patient services incurred by visitors from another province
Application for a Licence to Establish or Maintain and Operate a Nursing Home
The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.
Physicians complete form to apply for OHIP billing number and/or specialty billing number.
form used to provide patient with a comprehensive plan of community-based treatment or care and supervision.
Form is generated by client communication system to have people replace red&white card with photo health card
Under Interprovincial agreement, for travel within Canada, patients/physicians submit form to get reimbursed by applicable health plan.
Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
IHPs requesting approval to submit their claims in MRI format
Form will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC