Uninsured services billing resources
Resources to assist you with billing for uninsured services
Guides and overviews
Office posters
Letter templates
Templates for invoices
Guides and overviews
Learn about the suggested rates and fees for services that are not covered by OHIP.
Implementing an uninsured services program
This guide provides an overview on the implementation of an efficient and effective uninsured services program in a physician office, including the relevant policies and interpretation of regulations.
Ontario Medical Association
Schedule of fees
The 2024 Schedule of Fees guides physicians and office staff on the application of fees for services rendered to patients who are not insured by OHIP.
Ontario Medical Association
Physicians’ guide to uninsured services
This 2024 document is dedicated to providing physicians with advice on uninsured and third-party requested services, suggested fees, relevant policies and the regulation of these services.
Ontario Medical Association
Scale of grading and remuneration
The 2023 scale of grading and remuneration document acts as a resource for physicians working under salary or contractual arrangements.
Ontario Medical Association
Uninsured services posters
OHIP coverage: What you need to know
This poster is designed to be displayed at physicians’ practices to help educate patients about uninsured medical and administrative services, as well as block fees. it is also available in French. Email info@oma.org to get a free 11" x 17" copy by mail.
Ontario Medical Assocation
Letter templates
These downloadable, editable Word documents can be used to notify patients of uninsured services.
Administrative work for physicians
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Physicians can use this letter when responding to requests to participate in working groups, committees and other activities that are not insured services.
Ontario Medical Association
Confirmation of third-party requests
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This editable Word document provides a template for a physician letter to confirm a third-party request.
Ontario Medical Association
Missed appointments – GPs
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This letter can be used when patients miss scheduled appointments. It includes an area for missed appointment charges.
Ontario Medical Association
Missed appointments – specialists
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This letter can be used when patients miss scheduled appointments with specialists. It also includes an option to include charges for missed consultations and followup appointments.
Ontario Medical Association
Patient-requested copy and transfer of records
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This letter can be used when patients request a copy and transfer of their medical records. It also includes examples of different options for patients.
Ontario Medical Association
Uninsured services policy
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This letter can be used to notify patients on a physician’s office policy on uninsured services.
Ontario Medical Association
Templates for invoices
These Word documents are editable and downloadable, and can be used to send patients invoices for uninsured services.
Copy and transfer of medical records
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This editable Word document provides a template for an invoice for a third-party to copy and transfer of medical records.
Ontario Medical Association
Third-party request
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This Word document template can be used for invoices for third-party requests.
Ontario Medical Association
Physician administrative work
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This downloadable Word document template can be used for invoices for physician administrative work.
Ontario Medical Association
Hourly rate calculator
This interactive tool was developed by the OMA to assist physicians in determining an hourly rate for uninsured services, based on gross annual income.
Billing codes at your fingertips
With the OMA app, members can look up: fees for insured and uninsured services, as well as temporary COVID-19 codes, Q-Codes, diagnostic codes and medications in the Ontario Drug Benefit formulary.
Contact us
The OMA assists members with billing questions and Schedule of Benefits interpretation. If you have a question, please send us an email.