File insured health claims without retyping patient and provider details

Standard OHIP health claims repeat patient identifiers, provider billing numbers, and service details on every form. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Claims submission — Resources for Physicians — ontario.ca
• Form (Central Forms Repository): Health Claim — 014-4420-84

What this form is about

Form 014-4420-84 is the Health Claim form used by health care providers to bill OHIP for insured services.

Before you start: what to gather

• Patient name and health number.
• Provider OHIP billing number and practice location.
• Service date and fee or diagnostic codes.
• Referral or admission details when applicable.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient name and provider billing details in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.