OHIP Billing Solutions for Family Physicians & Primary Care

At MedPros, our specialty is primary care OHIP billing. We partner with family physicians and nurse practitioners across Ontario to maximize revenue, minimize claim rejections, and simplify the administrative side of medicine. Whether you work under FFS, CCM, FHG, FHO, FHO+ or FHT, our billing experts ensure your practice gets paid properly: on time, every time.

Our Goal is Simple

Make your billing stress-free so you can focus on patients, not paperwork.

Why Primary Care Physicians Choose

Deep OHIP expertise

We know the ins and outs of family practice billing, roster requirements, bonus codes, chronic care management, preventive incentives, and complex outside-use scenarios.

End-to-end billing support

We handle submission, reconciliation, error correction, and appeals. You’ll always know what’s outstanding, what’s paid, and what’s coming next.

Revenue maximization

We identify missed codes, underbilling, and rejections so your practice gets the income it deserves.

Transparent analytics & reporting

Monthly reports show billing trends, top codes, rejection reasons, and growth opportunities in plain language, not jargon.

Trusted EMR integration

We work seamlessly with major systems, including:

Accuro
Avaros
Healthscreen
Jane
Med Access
OSCAR
TELUS CHR
TELUS PS Suite

Services We Provide

Service	What It Means for You
OHIP Billing (FFS, CCM, FHG, FHO, FHT)	Full-service claim management for primary care physicians, NPs and specialists
Roster & bonus optimization	Maximize preventive bonuses, CCM codes, and roster-based incentives
Claim reconciliation & appeals	Reduce rejections, recover missed revenue
Third-party billing	WSIB, Blue Cross, private insurers, UHIP
Uninsured billing	Letters, forms, cosmetic services, non-OHIP consults
Historical billing audits	6–12 months of past claims reviewed for missed income
Reporting	Providing detailed monthly reporting with quarterly and yearly analytical reports.

Billing for Specialists & Allied Health

While our primary expertise is family practice billing, we also support:

Specialists (internal medicine, pediatrics, psychiatry, surgery, etc.)
Allied health professionals (physiotherapy, chiropractic, massage, optometry, dental, etc.)

Our team ensures your OHIP, private, and third-party claims are properly submitted, tracked, and collected.

Flexible Billing Packages Tailored to Your Needs

No two practices are alike. That’s why MedPros offers tiered billing packages designed to match the needs of every physician and clinic.

Feature	Tier 1 Simple	Tier 2 Optimized	Tier 3 Ultimate
OHIP claim submission
RA reports & rejection corrections
Health card validation
Dedicated billing coordinator
Diagnostic & billing code recommendations
Roster management & virtual care assessments
Preventive bonus code capture
Quarterly analytics report
Daily billing reviews & audits
No-show patient reporting
Expanded premium/RA optimization

Contract Flexibility: We offer trial periods, annual and multi-year agreements, and automatic renewals with clear exit options. You choose the commitment level that works best for your practice.

Revenue Calculator

Think you’re billing correctly? You might be surprised. Even small errors or missed codes can add up to tens of thousands annually.

Try our free hidden revenue calculator to estimate how much more your practice could be earning with MedPros.

OHIP Revenue Optimization Tool

Estimate potential revenue you could unlock with optimized billing.

Beta

Billing Model

Presets tune assumptions; you can still adjust sliders below.

Current Monthly OHIP Collections

Enter an average of the last 3–6 months (CAD).

Third‑Party Collections / Month

WSIB, Blue Cross, private insurers, UHIP (CAD).

Uninsured Collections / Month

Forms, cosmetic, non‑OHIP visits (CAD).

Optimization Assumptions

Edit to match your practice.

OHIP Optimization Lift: 10%

Third‑Party Capture Lift: 20%

Uninsured Capture Lift: 30%

Historical Audit (One‑Time)

Estimate recovery from a prior look‑back.

Look‑Back Window (months): 6

Recoverable per Month: 4%

Monthly Uplift

Estimated additional monthly revenue.

Sum of OHIP optimization, third‑party, and uninsured lifts.

Annual Uplift

Estimated additional revenue per year.

Assumes current inputs remain consistent for 12 months.

One‑Time Recovery

From historical audit look‑back.

Based on 6 months look‑back at 4% of monthly OHIP.

Compliance & Security You Can Trust

PHIPA compliant, we meet the highest standards of data privacy
Secure encrypted access, only authorized MedPros staff handle your billing
Audit-ready processes, we keep your clinic prepared for MOH reviews

Support for New Practices & Graduates

Starting your practice or joining an FHO/FHG group? Billing can feel overwhelming. MedPros helps new physicians and nurse practitioners get set up correctly from day one so you never miss revenue opportunities. We offer onboarding support, education, and ongoing guidance tailored for early-career providers.

MedPros by the Numbers

40+ physicians currently billed across Ontario
Millions in OHIP claims submitted annually
Average 8–12% revenue lift for new clients within the first year
Hundreds of hours saved annually per clinic by outsourcing billing

The Billing Headaches We Solve

Too many claim rejections?
Missing roster bonuses?
Unsure why your income is lower than colleagues?
Wasting time chasing down WSIB or insurance payments?
Overwhelmed by uninsured billing?

We fix all of this, and more.

Transparent & Competitive Pricing

We keep our fees lower than most billing companies in Ontario, while delivering more personalized service. Our pricing is structured to ensure you only pay when we deliver results.

Dedicated Billing Manager & Coordinator

Every clinic we work with is assigned a primary billing manager and a secondary billing coordinator. You’ll receive their direct email and cell phone number, no generic inboxes, no waiting days for a reply. This ensures quick answers and a real relationship with the people managing your revenue.

Onboarding is Simple

Free billing review – We analyze your current claims and find revenue gaps.
Proposal & projections – See how much more you could earn.
Setup & EMR integration – We handle the technical side.
Parallel validation – Run billing alongside your current process for peace of mind.
Full handover – We take care of all billing moving forward.
Continuous improvement – Monthly reporting and quarterly analysis keep your revenue growing.

FAQs

Why should I hire a billing company instead of handling billing in-house?

Most in-house staff don’t have the specialized knowledge to keep up with OHIP rules and incentives. Even minor errors, missing bonus codes, or late submissions can cost thousands annually.
I already have a billing provider, why would I consider switching?

If you’re not receiving transparent reports, seeing frequent rejections, or suspect you’re under-earning compared to peers, your billing provider may not be maximizing your income.
Is it difficult to change billing providers?

Not at all. The transition usually takes just a few weeks. We can run in parallel with your current system to ensure no disruption to payments.
Why are some of my colleagues earning more than me when we see the same number of patients?

It often comes down to billing accuracy and optimization. A billing review often uncovers missed codes or bonuses that explain income gaps.
How important is third-party billing (WSIB, insurance, Blue Cross, etc.)?

Very. Many physicians underestimate the role of third-party claims in their overall income. Without follow-up, these claims are often delayed or lost.
What about uninsured billing, isn’t that more hassle than it’s worth?

Uninsured services (forms, cosmetic procedures, non-OHIP visits) can add up quickly. Consistent tracking ensures this important revenue stream isn’t overlooked.
Can a billing company really help me earn more, or do they just take a cut of what I already make?

A good billing provider actively increases your income by recovering missed revenue, capturing bonuses, and reducing rejections.

What Our Clients Say

Dr. Emily C., FHO Family Physician

What I appreciate most is the time I’ve gotten back. I used to spend hours every week reviewing claims. With MedPros, I know everything is being handled correctly.

Dr. David R., Specialist (Internal Medicine)

As a specialist, I thought my billing was fine. MedPros proved me wrong. They flagged repeated rejections and streamlined my third-party claims, my revenue is up and admin time is down.

Dr. Ayesha P., Nurse Practitioner, CCM Model

MedPros recovered thousands from the past year that I didn’t even know I was missing. Now every code is captured properly, I finally feel my billing is under control.

Dr. Michael K., FHG Family Practice

I was hesitant to change billing providers, but MedPros made the transition effortless. Within three months, my monthly income was noticeably higher. Their team ran in parallel with my old provider so I could see the difference.

Dr. Sarah L., Family Physician, FHO Model

Since switching to MedPros, my revenue has increased by nearly 12%. They caught several bonus codes I wasn’t claiming before, especially around preventive care. Billing used to be a source of stress, now it’s seamless.

Ready to Maximize Your OHIP Revenue?

Take advantage of our free billing review or start with two months of service free.