Bill reciprocal OHIP services without retyping patient and provider details

Ontario physicians submitting reciprocal billing claims repeat patient health numbers, provider billing numbers, and service details whenever they bill insured services under reciprocal billing arrangements. 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): Reciprocal Claim — 014-4421-84

What this form is about

Form 014-4421-84 is the Reciprocal Claim used under OHIP reciprocal billing arrangements when an Ontario provider bills for services delivered under applicable interprovincial or reciprocal agreements — confirm eligibility on ontario.ca.

Before you start: what to gather

• Patient full legal name and Ontario or reciprocal health number.
• Physician legal name and OHIP billing number.
• Service date, location, and fee codes for reciprocal services.
• Supporting documentation — confirm reciprocal billing rules on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

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