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features
design
support

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Write a Review

Description

Eligible offers robust APIs that seamlessly integrate insurance billing functionalities into your applications. Our certifications provide reassurance to patients and healthcare providers that Eligible adheres to the highest standards of privacy and security while managing millions of healthcare cases monthly. We recognize the importance of a well-established information security framework in fulfilling both Eligible's and our clients' objectives. We are pleased to share that we have successfully completed our Type II SOC2 audit, which reinforces our commitment to safeguarding protected health information. This achievement not only underscores our dedication to security but also builds trust with our customers and partners regarding our obligations to protect sensitive data. With our APIs, you can effortlessly enhance the patient insurance billing experience for your users, allowing you to run estimates, verify insurance, and submit claims for patients seamlessly. Experience the ease and efficiency that our technology brings to healthcare billing processes.

Description

OHIPay is a cloud-based medical billing solution designed specifically for Ontario physicians and their billing teams. This software offers a web-based workspace along with a mobile application, allowing users to generate claims using health-card information, verify eligibility, incorporate fee codes, compute applicable premiums, and assess advisory alerts regarding possible rejection codes. Users can submit claims in groups via MC EDT and monitor their progress from the draft stage through to submission, payment, or potential rejection. Additionally, OHIPay facilitates inpatient rounding rosters, enables health-card scanning, and supports correction and resubmission processes while allowing for the reconciliation of Ministry remittance reports with the services submitted. The platform includes handy references for billing codes. Although the software aims to assist practices in managing their own Ontario physician claims, the advisory warnings provided are intended for review purposes only and do not guarantee the acceptance or payment of claims. Ultimately, OHIPay streamlines the billing process, enhancing efficiency for healthcare providers in Ontario.

API Access

Has API Yes 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

OptiMantra Yes 

Integrations

OptiMantra No 

Pricing Details

3% Fee
25¢ per claim
Free Trial No 
Free Version No 

Pricing Details

$20/physician/month
$0 for the first 6 months, then $20/month plus HST per physician from month 7. Billing staff and the phone app are included. No setup fee or contract; month-to-month, cancel any time.
Free Trial Yes 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App Yes 
iPad App No 
Android App Yes 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Eligible

Founded

2011

Country

United States

Website

eligible.com

Vendor Details

Company Name

Medinote Technologies Inc.

Founded

2026

Country

Canada

Website

ohipay.ca

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

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