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How to Use the eSubmit System: A Comprehensive Guide for Healthcare Providers in Ontario

Navigating the eSubmit system is crucial for healthcare providers in Ontario who need to submit claims, supporting documentation, or inquiries related to their services. Managed by the Claims Services Branch of the Ministry of Health, this system streamlines the submission process, making it easier for providers to interact with the Ontario Health Insurance Plan (OHIP).

This guide will walk you through the essential steps of using the eSubmit system, from accessing the platform to managing your submissions effectively.

Accessing the eSubmit System

To access eSubmit, healthcare providers must log in through the OPS BPS Secure portal. Here’s how:

Login to OPS BPS Secure:

• Visit the OPS BPS Secure login page at this link.
• Enter your registered email address and password, then click "Sign In."
• New users must register before accessing the system.

Navigating to eSubmit:

• After logging in, select 'eSubmit' from the Services dropdown on the Administration and MOHLTC Services page.
• The main screen will display several service options, including Supporting Documentation, Remittance Advice Inquiry, Response to Additional Information Request, and My Ticket Status.

Submission Process

The eSubmit system allows for various types of submissions. Here’s a breakdown of how to submit documentation or inquiries:

Supporting Documentation & Remittance Advice Inquiry Submissions:

• Choose either 'Ontario Provider Claims' or 'RTPBA – Out of Country Claims' depending on the type of submission.
• Complete all mandatory fields marked with an asterisk (*). For example, when submitting supporting documentation, you must include an attachment or remarks.

Providing Contact Information:

• Enter the group number, solo billing number, specialty identifier, and other relevant contact information.
• Ensure accuracy to avoid errors that could delay processing.

Remittance Advice Inquiry Submission:

• Provide fee codes and select the inquiry type, indicating whether it is an underpayment, overpayment, or requires correction.
• Attach any necessary documentation to support your inquiry.

Adding Attachments:

• Up to 15 attachments can be added per submission, with each file size limited to 10MB.
• Use the preview pane to review attachments before submitting.

Submitting the Form:

• Once the form is complete, click 'Submit.' If any errors occur, they will be highlighted at the top of the screen.
• Upon successful submission, a ticket number will be generated, and details will be sent to your email.

Managing Your Submissions

The eSubmit system also allows users to track the status of their submissions:

Viewing Additional Information Requests:

• Log in to OPS BPS Secure, navigate to the Medical Claims Electronic Data Transfer main page, and select 'Download' to view reports.
• Download and open files associated with Additional Information Requests.

Responding to Additional Information Requests:

• Use the request ID provided by the ministry to access and submit additional documentation as needed.

Checking Ticket Status:

• View open or closed tickets by selecting the appropriate option from the Ticket State dropdown.
• For closed tickets, specify the date range to see tickets closed within the last 12 months.

For More Information

If you encounter issues or have questions about the eSubmit system, contact the Service Support Contact Centre (SSCC) at 1-800-262-6524 during business hours. For technical issues related to EMR integration, consult your software vendor.

Sample Pricing and Claims Process

Here’s a simplified table outlining potential service and claim details:

Service	Claim Type	Details	Attachments Required
Ontario Provider Claims	Supporting Documentation	Patient's Province, Health Number	Yes
Remittance Advice Inquiry	Fee Code Inquiry	Service Date, Fee Code	Optional
Additional Information Request	Documentation	Claim Submission Number	Yes

Note: Ensure all submissions include the correct details to avoid delays in processing.

Blog Post: Simplifying the eSubmit Process for Ontario Healthcare Providers

Title: 

Introduction: The eSubmit system, managed by the Ministry of Health in Ontario, is a critical tool for healthcare providers. It simplifies the submission of claims, supporting documentation, and inquiries, ensuring efficient communication with OHIP. This blog post will guide you through the process, from logging in to tracking your submission status.

Key Steps: