File prior approval for out-of-country or out-of-province lab tests without retyping patient details

When insured laboratory or genetics testing must be done outside Ontario or Canada, the prior approval application repeats patient identifiers and provider billing details. 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: OHIP coverage while outside Canada — ontario.ca
• Form (Central Forms Repository): Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing — 014-4521-84

What this form is about

Form 014-4521-84 requests prior approval for full OHIP payment of insured out-of-country or out-of-province laboratory and genetics testing before the service is provided.

Before you start: what to gather

• Patient name, Ontario health number, and date of birth.
• Ordering physician billing number and practice details.
• Test description and clinical justification.
• Facility or laboratory where testing will occur.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient name, health number, and provider billing identifiers 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.