Register or change ministry provider details without retyping practice identifiers

Health care providers registering with or updating their ministry provider profile repeat legal name, registration number, practice address, and billing contact information on every registration or change 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: Claims submission — Resources for Physicians — ontario.ca
• Form (Central Forms Repository): Provider Registration/Change Request Form — on00574

What this form is about

Form ON00574 is the Provider Registration/Change Request Form used to register new OHIP billers or update existing provider registration details with the ministry — confirm your provider type on ontario.ca.

Before you start: what to gather

• Provider full legal name and professional registration number.
• OHIP billing number if already assigned, or application type for new registration.
• Practice address and mailing address if different.
• Contact phone and email for billing correspondence.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your provider name, registration number, and practice address 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.