A dedicated billing agent reviews every claim before it goes, works the rejections through to payment, files the appeals, and tells you what you aren't claiming. You still see all of it — and the fee only applies to claims that actually get paid.
You record what you did. Everything between that and the deposit is ours.
On the phone at the bedside, in the web portal, from a spreadsheet, or straight out of an Epic, Cerner or EMR export. Whichever is least work that day.
Base code, premiums, add-ons and the companion rules that go with them — checked before the claim is submitted, not after it comes back refused.
Refused and reduced items are investigated, corrected and resubmitted, and appeals filed where the Ministry got it wrong — tracked until the claim settles.
Same records, same screens. Open any claim and read what was billed, what was paid, what was refused and what we did about it. No monthly PDF to take on trust.
Submitting a claim is the easy part, and it is not what you are hiring an agent for.
A refused or reduced item sits on a remittance until somebody opens it. On full service that work list is your agent's, not yours — traced to the cause rather than flagged, corrected and resubmitted inside the deadline, and raised as a Remittance Advice Inquiry when the Ministry paid less than the Schedule allows.
Why OHIP claims get rejectedA premium you never claimed is never refused, so it never shows up as a problem — it just doesn't arrive. Your agent checks premium and add-on eligibility while the claim can still be changed, and benchmarks your billing against statistically similar physicians in your own specialty to show where the pattern is short.
Special visit premiums explainedOne rate. No setup fee, no per-claim charge, nothing held back for a higher tier.
A named person on your account who knows your specialty and your facilities — the same one each cycle, reachable by phone and email.
Codes, premiums, add-ons and companion rules checked against the Schedule of Benefits while the claim can still be changed.
Investigated, corrected, resubmitted and tracked to payment. You don't have to spot it first or tell us to chase it.
Remittance Advice Inquiries raised from the claim they belong to, submitted electronically and followed to the Ministry's answer.
Where your billing sits against statistically similar physicians in your own specialty, and which categories you are consistently short on.
We tell you exactly what to sign, set up your facilities, group numbers and specialty, and import your history where the remittances allow it.
Plus everything in the software itself: the mobile app, the web portal, health card validation, remittance reconciliation and the reports. Full service adds the person, it doesn't take away the tools.
A biller on payroll is a salary you pay in a quiet month, a hiring decision and a gap every time they are away. An agent is a percentage of what you are actually paid.
Hiring a biller
Full service billing
Most clinics keep their front desk and hand over the claims cycle. See how clinics are set up.
Your billing number and GO Secure account stay yours throughout, and you can revoke our designation yourself.
Solo, clinic or department; how many physicians; which specialty; which EMR or hospital system. For a group, that's a demo rather than a signup.
You add IntelAGENT as your MC EDT designee. We prepare the paperwork and tell you what to sign; this is the step with a lead time.
Facilities, group numbers, specialty and premium eligibility entered and checked before the first submission, not after the first rejection.
The first cycle runs with your agent reviewing every claim before it goes. You watch all of it from the app, and you can stop at the end of any month.
A billing agent does the whole cycle for you: reviewing the codes before submission, sending the claim to OHIP, reconciling the Remittance Advice, investigating anything refused or reduced, and correcting and resubmitting it until it is paid. You record what you did; everything between that and the deposit is the agent's job.
2% of paid claims, billed monthly on revenue. There is no setup fee, no per-claim charge and no separate charge for working a rejection or filing an appeal — the software and the submission are included in the same rate. Because it is a percentage, the cost scales with the practice whatever its size.
Investigate it, correct it, resubmit it and track it until it settles. You don't have to spot it first or ask us to chase it. If the claim was paid at less than the listed fee and we think that's wrong, we file a Remittance Advice Inquiry and follow it to the Ministry's answer.
Fee-for-service OHIP, patient enrolment models such as FHO, FHG, FHN and CCM, alternate funding arrangements for hospital departments and academic groups, out-of-province patients billed through reciprocal medical billing, WSIB, private insurers, and private invoicing for uninsured services and patients with no Ontario coverage.
Yes. Practices in a patient enrolment model such as FHO, FHG, FHN or CCM, and departments funded under an AFA or AFP, still submit claims — for the enrolled-patient record, for the work that falls outside the basket, and for the bonuses and premiums that depend on them. Your agent handles that the same way as fee-for-service.
Yes — full service adds the agent, it doesn't take away the software. You can capture encounters in the mobile app, the web portal, a spreadsheet or an EMR export, and see every claim and payment yourself at any time.
Yes. Changing the MC EDT designation moves future submissions to us; claims your previous provider already submitted keep settling to the same account, and we reconcile those remittances alongside the new ones. Tell us what's still outstanding and we'll track it with you.
The gating step is the MC EDT designation at the Ministry, not our setup — allow a few business days for it to take effect. Everything on our side is built while you wait. For a group, no MC EDT designation is needed from the individual physicians at all: give us the roster.
Yes. The billing number and GO Secure account stay yours. You designate IntelAGENT to submit on your behalf through MC EDT, and you can revoke that designation yourself at any time.
It depends on your volume, which is why the honest comparison is structural rather than a number. A biller on staff is a fixed cost that doesn't move when your billing does, plus coverage for vacation and turnover, plus software and an MC EDT account. Full service is 2% of paid claims and includes the software and the submission, so it costs less in a quiet month and never needs covering. Tell us your volume and we'll work out the actual figure with you.
No contract and no long-term commitment — you are billed monthly and can cancel anytime. You revoke the MC EDT designation yourself, so submissions stop going through us the moment you decide. Your claim and payment data stays accessible for export after cancellation.
Tell us how you bill today — solo, group or clinic, and what you're using now. We'll walk through exactly what your agent would take over, what it costs at your volume, and what you'd still see yourself.
No contract. Billed monthly on paid claims. Your OHIP billing number stays yours.