Ministry of Health Data Link Bulletin 4303

Issued January 16, 1998

Internet Site

The new Schedule of Benefits will be available on the Ministry of Heath's web site (www.gov.on.ca/health) on February 1, 1998.

Fee Schedule Master for MRI Providers

The medical claims system will be updated with changes related to the February 1, 1998 Schedule of Benefits (SOB) effective February 1, 1998.

To assist in updating OHIP billing software, a copy of the new Fee Schedule Master on tape or diskette can be obtained by contacting the Technical Services area of your local MOH processing office after February 1, 1998. Please specify which media type you require.

Pay Fee Approved Regardless of Fee Billed

To allow time for providers to update their billing software, the medical claims payment system will be modified as follows:

Fee Schedule Codes processed on or after February 1,1998 with service dates February 1, 1998 - April 30, 1998 inclusive, will be paid according to the fees in the new Fee Schedule Master, REGARDLESS OF THE FEE BILLED.

Claims with service dates May 1,1998 and later must be billed at the new rates in order to be paid at the correct amount.

How do Solution System 2 users get this new fee schedule?

Advanced Computer Systems does not supply new fee schedules on diskette. This is an Ontario Ministry of Health publication available through your local MOH processing office. Please contact your local MOH processing office or the Ministry of Health for to have an electronic copy of the Fee Schedule Master sent to you on diskette.

How do Solution System 2 users update their OHIP Codes libraries?

Solution System 2 can read Fee Schedule Master diskettes written in PC format. Follow the instructions below once you receive the Fee Schedule Master diskette that you requested from the Ministry of Health.

Step 1

Select the 'Utilities' menu from the main menu in Solution System 2 as show below:

Step 2

Select 'Install New OHIP Billing Rates' as show below:

Step 3

Answer 'Y' to the question 'Do you wish to process new rates information now?' as show below:

Step 4

It is recommended that you answer 'Y' to the question 'Add new codes to OHIP code list?' as shown below:

Step 5

Ensure that the Fee Schedule Master diskette received from OHIP is in drive A: and press Enter to proceed as shown below. If you wish to do this later, press the Escape key to abort.

Solution System 2 will then proceed to update your OHIP Codes billing rates libraries.

Well Done!