Processing claims has never been easier!
Upload a sheet, review flagged rows, done.
Watch these videos to learn how it works.
Create and manage claims with guided validation built into the workflow.
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Enter new claims manually
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Edit rejected, held, invoiced, and private-pay claims
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Add multiple services to one claim
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Automatic fee calculation using current service code rules
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Built-in logic for premiums, add-on codes, and K300/K301 virtual visit adjustments
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Patient history lookup while entering claims
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Duplicate and conflicting code warnings
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Last diagnosis and admit date recall for returning patients
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Referring physician lookup and validation
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Service status tracking from entry through payment
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Pre-programmed holiday calendar to help avoid incorrect SVP selection
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One billing sheet format. Four common physician billing workflows.
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Clinic – Process clinic visits in batches, with automatic selection of the next appropriate visit code and eligible chronic disease premiums.
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Rounds – Process hospital rounds in batches, with automatic code selection and adjustments based on admission date, service date, and applicable billing limits.
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Hospital Visits – Process hospital consultations and follow-up visits, with options for Special Visit, Travel, MRP admission, and ICU premiums.
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ICU/NICU – Process daily critical-care billing, with automatic per-diem code selection based on level of care and optional after-midnight admission codes.
Imports
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Patient Import – Use the same billing sheet format to add or update patient information for future billing, without creating claims.
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Excel Import – Import billing data exported from an EMR or other external system to create claims in batches without re-entering each claim manually.
Additional batch tools
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Upload scanned billing sheets or individual patient sticker images
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OCR-assisted extraction of patient information
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Preview and correct rows before creating claims
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Save and resume batch progress
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Exclude problem rows without restarting the batch
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Duplicate claim checks before creation
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Warnings for missing or incomplete billing information
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SVP and travel premium checks
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Use integrated health card validation to reduce avoidable rejections.
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Validate health card number and version code
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Display Ministry-returned patient name and date of birth
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Update patient demographics from validation results when appropriate
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Correct DOB-related rejections and mark claims for resubmission automatically
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Create, upload, submit, and download MC-EDT files directly from the system.
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Create, upload and submit claim files with one click
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Automatic nightly download and processing of MOH response files
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Connect using your own MC-EDT credentials or designate AE Medical Billings, eliminating the need to update your credentials in the system when your MC-EDT password changes
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View submission batches and reports
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Generate pre-submission reports
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Keep claims moving after MOH responses arrive.
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Batch Edit, Claims Error and Remittance Files are automatically downloaded and processed
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Correct and update Service Status automatically for incorrect DOB rejections (VH8) using MC-EDT Health Card Validation
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Track rejection source from CE or RA
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Filter rejected claims by source
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CE reports and summaries generated and sent to AE Admin staff for Guided and Full Service customers
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Exclude error-report claims that were not submitted through the system
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Maintain patient information connected to each provider.
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Add and edit patients
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Store and manage patient demographics and billing information
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Patient notes
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Patient history reports
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Health card/version-code update tools
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Support for OHIP, reciprocal billing, IFH, WSIB, third-party, uninsured, and self-pay scenarios
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Give full-service clients a secure way to send billing documents.
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Providers upload billing sheets securely
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Upload status page for providers
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Track statuses such as New, Assigned, In Process, Entered, Reviewed, and Submitted
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Create invoices for claims that are not paid through OHIP.
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Private insurance invoices
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Self-pay invoices
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Reusable insurance company list
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Editable invoice line descriptions
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Invoice preview and print
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Track invoice statuses such as Created, Sent, Paid, Rejected, and Write-off
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Link invoice status back to claim/service status
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Designed with controlled access and auditability in mind.
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Role-based access for physicians, staff and administrators
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MFA support
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Secure file upload
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Plans & Pricing
Same platform, different levels of involvement. Pick what fits your practice.
Feature | Self-serve | Guided | Full Service |
|---|---|---|---|
Private insurance and self-pay invoice creation | ✓ | ✓ | ✓ |
Rejection tracking and filters | ✓ | ✓ | ✓ |
Health card validation | ✓ | ✓ | ✓ |
Claim validation and warnings | ✓ | ✓ | ✓ |
Fee calculation and premium logic | ✓ | ✓ | ✓ |
Automatic Nightly MOH response downloads | ✓ | ✓ | ✓ |
Web-based billing platform | ✓ | ✓ | ✓ |
Batch Edit / Claims Error / RA processing | ✓ | ✓ | ✓ |
Batch Claims workflows | ✓ | ✓ | ✓ |
MC-EDT file creation | ✓ | ✓ | ✓ |
Patient management | ✓ | ✓ | ✓ |
Manual claim entry | ✓ | ✓ | ✓ |
MC-EDT upload and submission | ✓ | ✓ | ✓ |
AE follow-up on rejections | ✓ | ✓ | |
Dedicated Billing Specialist | ✓ | ✓ | |
Claim correction support | ✓ | ✓ | |
Billing advice / consultation services | ✓ | ✓ | |
Billing entry by AE staff | ✓ | ||
Detailed RA rejection explanation | ✓ |
Plan | Billing fee (%) | Best for |
|---|---|---|
Self-serve | 0.25 | Physicians comfortable running their own billing |
Guided | 0.95 | Physicians who want control, with backup when needed |
Full Service | 1.95 | Physicians who'd rather not touch billing at all |
Have more questions? Browse our OHIP Resources.
Billing services in Ontario are commonly priced as a percentage of your OHIP payments, so the cost depends on how much of the work you hand off. At AE Medical Billings, it's 0.25% with Self-serve (you run your own billing in AE Online), 0.95% with Guided (you stay in control, with expert backup when needed), and 1.95% with Full Service (we handle everything). Whichever option you consider, look past the rate and ask what's included, especially follow-up on rejected claims and checking your monthly OHIP payments. That's where revenue is usually lost.
Most new physicians choose software built specifically for OHIP billing. Beyond that, a few features matter most early on: catching errors before a claim is submitted, clearly showing which claims were rejected and why, and matching each monthly OHIP payment against what you billed. It also helps to have real people to ask when you're unsure how to bill something. AE Online was built for Ontario physicians with these needs in mind, and you can add expert backup anytime with the Guided plan.