OHIP Revenue Recovery · Ontario IHFs

The Revenue Your
Clinic Is Owed

Ontario's private surgical clinics lose 5 to 10% of OHIP revenue to billing errors they never see. We find it, flag it, and help you claim what's already yours.

90%

of Ontario surgeons had claims rejected in 2024, according to OMA reporting.

$150K+

average annual missed revenue opportunity for high-volume surgical clinics.

6 weeks

average time to first recovered payment after a validated audit.

Trusted infrastructure for Ontario's independent health facilities
PHIPA CompliantPrivacy-first workflow
Canadian ServersAzure Canada East
E&O InsuredProfessional coverage
Bill 60 AlignedOntario IHF context
April 2026 SOBOHIP fee schedule
The Silent Revenue Leak

OHIP pays exactly what you ask for. The problem is what you forgot to ask.

The Invisible Miss

Underbilling that never triggers a rejection. Complexity premiums, assistant fees, secondary codes, never submitted, never recovered.

The Clock Problem

OHIP has a 6-month resubmission window. Most clinics catch errors too late. The window closes and the money is gone.

The Expertise Gap

Your office manager is great at administration. She is not a certified OHIP billing specialist. The difference can cost $80,000 to $150,000 per year.

How It Works

A focused audit that fits inside your clinic's week.

01

Upload

Securely upload billing submissions and operative notes through our PHIPA-compliant portal. Takes 15 minutes.

02

Analyze

Our AI cross-references every claim against the April 2026 Ontario Schedule of Benefits and flags missed premiums.

03

Report

You receive every missed code, dollar value, and clinical justification in a clear audit report.

04

Recover

Your billing team implements corrections. We track outcomes. You keep 80 to 85% of everything we find.

Revenue Calculator

Estimate what your clinic may be leaving unclaimed.

$0

No Upfront Cost

Your first audit costs nothing. We charge only when recoverable revenue is found and confirmed.

ON

Ontario-Specific

Built around OHIP, Bill 60, ICHSCA, and the workflow realities of Ontario surgical clinics.

CA

PHIPA Compliant

Patient data is de-identified before AI processing and hosted on Canadian infrastructure.

Free First Audit

Your first audit costs you nothing.

Send basic clinic details. We respond within 24 hours with the cleanest way to audit your recent OHIP submissions.

We respond within 24 hours.

We'll be in touch within 24 hours.