To: Al l

Published by: Claims Services Branch

Date Issued: June 17, 2016 Bulletin #: 3122

Re: Updates to He alt hcare P rofes sio nals We bsite an d

M anuals

Page 1 of 1

The Healthcare Professionals website and manuals listed below will be updated with the
following information regarding claims processing:

“The ministry operates on a monthly processing cycle. Submissions received by the 18th of
the month will typically be processed for approval the following month. When the 18th falls on
a weekend or holiday, the deadline will be extended to the next business day. MC EDT
submissions received after the 18th may not be approved until the next monthly processing
cycle. (i.e. submissions received on Nov 18th will appear on the December RA, submissions
received after Nov 18th may not appear until the January RA).”

http://www.health.gov.on.ca/en/pro/publications/ohip/mcedt_mn.aspx

http://www.health.gov.on.ca/english/providers/pub/ohip/physmanual/physmanual_mn.html

http://www.health.gov.on.ca/en/pro/publications/ohip/docs/mc_edt_reference_manual.pdf

These resources currently indicate that claims may be processed after the 18th of the month
where time and volume permits (Online Resource Manual for Physicians, Ministry of Health
and Long Term Care website), or on a best effort basis (MC EDT Reference Manual). This
current update clarifies to providers that MC EDT submissions received after the 18th may not
be approved until the next monthly billing cycle.

Posted Electronically Only