Seek OHIP approval for insured services in another province without retyping patient and physician details

Patients and Ontario physicians requesting prior approval for insured out-of-province health services repeat patient identifiers, health numbers, and clinical contact information on every OOP prior approval request. 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): Request for Prior Approval for Full Payment of Insured Out-of-Province (OOP) Health Services (in another province/territory) — 014-4963-84

What this form is about

Form 014-4963-84 is the Request for Prior Approval for Full Payment of Insured Out-of-Province Health Services, used when an Ontario resident needs ministry approval before receiving insured care in another Canadian province or territory — confirm eligibility on ontario.ca.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Patient address and contact phone.
• Ontario physician or specialist name and practice contact completing the clinical section.
• Proposed out-of-province service location, dates, and clinical rationale — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient health number, address, and physician 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.