Ontario (OHIP)
Complete support for Fee-for-Service (FFS), Family Health Organizations (FHO), Family Health Networks (FHN), Shadow Billing (Q-codes), and special access consultations.
🇨🇦 Provincial Billing & RCM
Provincial billing that moves faster
and reconciles cleanly
Anot Health pairs certified medical billing specialists with intelligent rule engines to manage your provincial submissions (OHIP, MSP, AHCIP, RAMQ), shadow billing, and third-party claims — eliminating rejections and maximizing earned revenue.
99.4%
Clean First-Pass Submission
10-14
Days to Remittance Advice (RA)
Provincial Remittance & Rejection Tracking
Precision Provincial Billing Operations
Stop losing earned income to expired filing deadlines, unbilled complex care premiums, or misclassified diagnostic codes.
Schedule of Benefits Audit
Every encounter is checked against current provincial schedules (OHIP SOB, MSP Payment Schedule, AHCIP SOMB) to capture all eligible premiums, tray fees, and time modifiers.
Rejection & RA Reconciliation
Remittance Advices (RAs) and error explanation codes (e.g. OHIP Error Reports, Teleplan rejects) are investigated and corrected by billing specialists with the fastest turnaround time.
WCB / Third-Party Claims
Hands-off management of provincial workers' compensation boards (WSIB Ontario, WorkSafeBC, WCB Alberta) and private extended health benefits (Sun Life, Manulife, Blue Cross).
Deep Expertise Across Provincial Health Plans
Our dedicated billing specialists understand the unique fee rules, enrollment caps, and shadow billing protocols for each province.
British Columbia (MSP / Teleplan)
Teleplan automated submission, General Practice Services Committee (GPSC) incentive codes, chronic disease management (CDM), and complex care planning.
Alberta (AHCIP)
Schedule of Medical Benefits (SOMB) coding, Primary Care Network (PCN) capitation management, modifier rules (e.g., CMGP, TELES), and hospital rounding.
Quebec (RAMQ) & Atlantic Canada
Facturation médicale for Quebec specialists and family doctors, plus Medical Services Insurance (MSI Nova Scotia) and Medicare New Brunswick.
Workers' Compensation Boards
Accurate initial assessment forms, progress reports, and consultation billings for WSIB (Ontario), WorkSafeBC, and WCB Alberta.
Private Insurance & Uninsured Services
Direct patient and insurer invoicing for uninsured services, third-party physicals, legal medical reports, and out-of-province reciprocal claims.
Zero Leakage
From Patient Encounter
From Patient Encounter
to Provincial Payment
Our billing specialists review notes directly inside your EMR, extract matching fee codes, and submit cleanly before deadlines.
01
Health Card & Eligibility Check
Automated provincial health card validation (HCV) prevents invalid version code rejections.
02
EMR Fee Code Extraction
Our team extracts and validates billing items inside Accuro, Telus PS Suite, Med Access, or OSCAR.
03
Remittance Advice Reconciliation
Monthly RA reconciliation matches payments directly to bank deposits with zero unreconciled balance.
Where provincial billing usually leaks revenue
Most outpatient practices are not losing money on rejected claims. They are losing it on claims that were never submitted, never resubmitted, or never reconciled.
Rejections that never get resubmitted
A provincial rejection is not a lost claim unless nobody works it. We track every rejection to resolution instead of letting the remittance file absorb it silently.
Premiums nobody claimed
After-hours, special visit, chronic disease management, and age-based premiums are eligible far more often than they are billed — particularly in busy primary care.
Reconciliation that stops at the deposit
Matching the remittance advice line by line against what was submitted is where underpayments surface. Stopping at the bank deposit hides them.
Who benefits
Practices carrying provincial billing in-house
- Family Health Organizations managing capitation alongside fee-for-service
- Specialist groups with high-value procedural claims and consult premiums
- Multi-province practices reconciling more than one provincial plan
- Clinics where billing currently depends on one person's knowledge
What we commit to
Operational commitments, every cycle
Every rejection worked
Provincial rejections are corrected and resubmitted inside the same billing cycle, not carried forward.
Line-by-line reconciliation
Remittance advice is matched against submissions so underpayments are visible, not absorbed.
Reporting you can audit
You see submitted, paid, rejected, and outstanding by provider and by plan — every month.
Frequently Asked Billing Questions
Common questions from clinic owners and physicians switching to Anot Health billing support.
Does Anot Health handle shadow billing for FHO / PCN clinics?+
Yes. We have specialized workflows for Ontario FHO/FHN physicians and Alberta PCN clinics to ensure all shadow billing codes (e.g. Q-codes, capitation rosters) are submitted accurately to protect bonus thresholds.
Which EMRs do you connect with?+
We work directly within Accuro (QHR Technologies), Telus PS Suite, Telus Med Access, OSCAR Pro, and Epic. No duplicate data entry required.
What is your turnaround time on rejected claims?+
When the Ministry of Health or Teleplan issues an error report or Remittance Advice, our specialists resolve and resubmit all correctable claims with the fastest turnaround time, ahead of provincial cut-offs.
Can we bundle billing with medical scribing?+
Yes! Bundling clinical documentation with provincial billing creates a seamless end-to-end operational engine where documentation and billing logic are aligned from the very start.
Stop leaving provincial revenue on the table.
Let our billing specialists perform a complimentary billing audit on your practice's recent Remittance Advices.