Autofill Ontario Ohip Claim Adjustment
File OHIP claim adjustments without retyping provider details
Healthcare providers and regional operations staff use the Adjustment form to correct or adjust OHIP claim line items — and it repeats billing numbers, patient identifiers, and service codes. 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): Adjustment — 014-4478-84
What this form is about
Form 014-4478-84 (Adjustment) is an online Ministry of Health form for healthcare providers and regional operations staff to submit adjustments to OHIP claims, including service codes, fees, and adjustment reasons.
Before you start: what to gather
- Provider billing number and payee location code.
- Patient health number and date of birth.
- Original claim number and service line details.
- Adjustment reason and action codes for each line item.
Confirm the current process on ontario.ca.
How hivi makes it faster
- Save it once. Store your provider billing identifiers and contact details in your hivi profile.
- Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
- Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
- 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.