Submit hospital ward cost data without retyping facility and patient identifiers

Hospitals reporting in-patient standard ward costs repeat hospital name, billing contact information, and patient or admission identifiers on ministry submissions. 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: Hospital chronic care co-payment — ontario.ca
• Form (Central Forms Repository): In-Patient Standard Ward Costs — 014-7158-84

What this form is about

Form 014-7158-84 is the In-Patient Standard Ward Costs form used by hospitals to report or claim standard ward cost information as directed by ministry hospital funding rules.

Before you start: what to gather

• Hospital legal name, address, and billing contact.
• Patient name and health number when applicable.
• Admission or service period dates.
• Ward classification and cost category — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your hospital name and patient identity 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.