Provider Registration/Change Request Form
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Forms, Links, and Information
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English - on00574e - Provider Registration/Change Request FormHTML
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French - on00574f - Provider Registration/Change Request FormHTML
Additional Information
Form Number | on00574 |
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Title | Provider Registration/Change Request Form |
Description | This application is to enable currently licensed health care professionals to be able to begin submitting or continue to submit claims to the Ministry of Health (the ministry) for insured services. Options include: • Register for an OHIP Billing Number • Register a Health Care Group • Authorize the ministry to make payments to a health care group on your behalf • Update address, banking, and/or group information • Register for Interactive Voice Response (IVR) • Register for the SAV Portal |