Visual Practice HOW TO

...Set up a Billing Provider (Physician)

Step 1. Collect the Physician Information

Before you can begin OHIP billing, you must have created at least one Billing Provider. A billing provider is a physician who has a billing licence for Visual Practice and who can bill OHIP for services provided to patients.

The first step is to collect the minimum information you need to create a Billing Provider. If you do not have this minimum information, Visual Practice will not list the Billing Provider in the 'providers who can submit' list.

This is the minimum information:

1. Last Name
2. First Name
3. Billing Territory - always set to ON in Ontario
4. Physician # - provided by the Ontario Ministry of Health; contact them for details if you don't have one.
5. Specialty Code -provided by the Ontario Ministry of Health; contact them for details if you don't have one.
6. District Code - provided by the Ontario Ministry of Health; contact them for details if you don't have one.
7. Location Code provided by the Ontario Ministry of Health; contact them for details if you don't have one.
8. Assistant Unit Fee - See current Schedule of Benefits for the latest rate information
9. Anaesthetist Unit Fee - See current Schedule of Benefits for the latest rate information

Once you have collected this information, you are ready to enter the physician into Visual Practice.

Step 2. Enter the Physician Information Into Visual Practice.

Now that you have the information you need to set up a Billing Provider, proceed to the Provider library, by clicking on the Form button located on the toolbar, selecting Lists and then Providers, as shown below:

Once you have selected Providers, the provider form will appear. To begin entry, press the New button  

You will notice that some fields on the Provider Form become white and others yellow. The yellow fields indicate mandatory information. Enter the information you collected as described in Step 1 into the fields shown. Last Name, First Name and Billing Territory are first. Once you have entered those ones, click on the licensing tab and click the Billing Provider box, as shown below:

note: If the box is gray and not selectable, it means you do not have enough licenses to license this billing provider. You can purchase additional licenses, or if it is a locum, go back to an existing locum's record and deselect a license from them and use it for this new one.

Once you have assigned the license, click on the Billing Tab. The Billing Tab data fields will appear. The first thing you should do is specify the Physician Type as Billing, by clicking on the Billing radio button. You will notice that the mandatory fields will then turn yellow, and they correspond with the remaining information that needs to be entered from Step 1.

If your physician is salaried and has a shadow billing agreement with the Ministry of Health, be sure to check off the Shadow Biller checkbox.

Once your data entry is complete, press the Save button .

Congratulations! You have registered a billing provider in Visual Practice!