Register for IHP electronic claims transfer without retyping provider details

Interdisciplinary health providers applying for GONet Electronic Data Transfer repeat organization name, billing numbers, and authorized representative contact information. 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): Application for IHP GONet Electronic Data Transfer (EDT) Service — 014-4750-84

What this form is about

Form 014-4750-84 is the Application for IHP GONet Electronic Data Transfer (EDT) Service, used by interdisciplinary health providers to register for electronic OHIP claims transmission through GONet.

Before you start: what to gather

• Provider or group legal name and business address.
• IHP billing number and related identifiers.
• Authorized representative name and contact details.
• Technical setup information for EDT enrollment.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your organization name, address, and contact 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.