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ClaimsSubmitting to OHIP

Submitting to OHIP

SnapBill submits claims electronically to the Ministry of Health via MCEDT (Medical Claims Electronic Data Transfer). This page explains the submission process.

Prerequisites

Before you can submit claims, you need:

  1. OPS BPS accountregister here if you haven’t already
  2. SnapBill designated as your provider — follow the Designate Provider guide
  3. OHIP connection configured — enter your MCEDT credentials in Settings > OHIP Connection

How to Submit

  1. Go to the Claims page
  2. Select the claims you want to submit using the checkboxes (or use Select All for pending claims)
  3. Click Submit to OHIP
  4. Review the submission summary — this shows the number of claims, total amount, and any validation warnings
  5. Click Confirm to proceed

SnapBill will:

  • Generate the OHIP claim file in the required format (HEB/HEH/HER/HET/HEE records)
  • Upload the file to MCEDT
  • Update each claim’s status to Submitted

Submission Best Practices

Submit Regularly

Don’t wait until the deadline. Submitting weekly or bi-weekly ensures:

  • Faster payment processing
  • Fewer claims to review at once
  • More consistent cash flow

Check Before You Submit

SnapBill validates claims before submission, but review the summary carefully. Pay attention to:

  • Claims with validation warnings (yellow indicators)
  • Patients with expired health cards
  • Claims approaching the 90-day deadline

Know the Deadlines

OHIP requires claims to be submitted within 90 days of the date of service. Claims submitted after this window will be rejected. See Submission Deadlines for details.

After Submission

Tracking

Submitted claims appear in the Submissions page, grouped by batch. Each batch shows:

  • Submission date and file name
  • Number of claims included
  • Current processing status (Queued, Acknowledged, Processed)

Response Files

OHIP sends response files back through MCEDT:

  • Claim Acknowledgement — confirms the file was received
  • Error Report — lists any claims that failed validation
  • Remittance Advice — shows payment amounts and any rejections

SnapBill downloads and processes these automatically, updating claim statuses accordingly.

Reconciliation

The Submissions page includes a reconciliation view that matches submitted claims to OHIP responses. This helps you identify:

  • Claims that were paid at a different amount than expected
  • Claims still waiting for a response
  • Rejected claims that need correction

Resubmitting Rejected Claims

If a claim is rejected, you can fix it and resubmit:

  1. Go to the rejected claim and review the error code
  2. Edit the claim to correct the issue (or use AI Corrections)
  3. Save the corrected claim
  4. Submit it again in your next batch

Rejected claims can be resubmitted as RAIs (Remittance Advice Inquiries) within 7 months of the rejection date.

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