OHIP billing software for Ontario physicians
Your OHIP billing, made clearer.
Gain complete control over your submitted claims and other billing details
- 80+ Clinics supported
- 300+ Physicians in our network
- 100+ Clinical team members
- 2M+ of billing claims reviewed each year
MCEDT raw files contain insights that can improve your billing, but most remain undiscovered.
APEX helps OHIP physicians uncover those clues, understand their billing, and find practical opportunities to improve.
Hourly claims that submit themselves
Set your clinic days on a calendar. APEX works out the most indirect and admin time your direct hours allow, submits Q310A–Q313A for you, and fixes any day that's missing or over the limit before it goes out.
Stay above the 75% continuity target
Your continuity of care each quarter: how many of your rostered patients' visits are with you, who is being seen elsewhere, and how close you are to the line where 15% of your base rate is at risk.
Diabetes, smoking cessation and heart failure premiums you missed
Rostered patients who qualify for Q040A diabetes management, Q042A / E079A smoking cessation or Q050A heart failure management but were never billed, listed patient by patient.
Should you switch to FHO+? Run your own numbers
APEX works out FHO, FHO+, FHG and CCM side by side from your own claims and roster: capitation, shadow billing, hourly codes and the 240-hour cap.
Patients you see often but haven't rostered
See who keeps coming back without being on your roster, who is being seen outside your group, and how much capitation that leaves on the table.
Track every preventive care bonus target
Screening rates for your rostered patients against each bonus level, with the patients still due, so you know who to call before the March 31 cut-off.
Never miss a special premium
APEX checks each visit for the after-hours, chronic disease and other premium codes it qualifies for, and flags the ones that weren't billed.
Built around the 2026 FHO+ agreement
- In-basket codes: Every billed code marked in or out of basket.
- Shadow billing: Shadow-billed value tracked against your capitation.
- Capitation rates: 2026 base rates by age and sex for your roster.
- Long-term care: LTC base-rate codes and what they pay.
Get your FHO+ plan in 3 questions
What would FHO+ pay you compared with FHG?
Roster the regulars you already see
The codes FHG physicians bill most
- Assessments: A001A, A007A, A008A and when each applies.
- Comprehensive care: Enrolment and the codes tied to rostered patients.
- Premiums: After-hours and chronic disease codes.
- Cheat sheet: The full Family Practice billing cheat sheet.
Get your FHG plan in 3 questions
Many locations.
No single view of your billing.
Each clinic and hospital runs its own billing from different EMR / EHR,
APEX is here to bring every location's billing together, all in one view.
Four sites, four separate records
Each location bills on its own, so what you were paid and what was missed sits in different places.
See what was paid, what was missed, all-in-one place
Total Receivable
Total receivable and number of claims paid on each remittance advice.
Most frequent errors
Least corrected errors
Top 10 errors with the least correction rate
Upload and submit your claims
Scan the health card (mobile / tablet)
Point your phone at an Ontario health card. The number, version code, and birth date fill in on their own.
Upload the XLSX (desktop)
Drop a CSV or XLSX. Required columns are matched without worrying about case.
Edit the breakdown
Change a code, quantity, or date right on the row before you create the claim.
Submit to OHIP
Send the claims straight to OHIP, then follow each file from upload to Batch Edit.
Fix billing errors and underpaid claims
Billing errors, stale-dated claims, and claim adjustments, corrected and ready to submit in one place.
Correct billing errors
Rejected claims come back with the fix already worked out. Review it, then approve and submit.
Stale-dated billing errors
Claims past the three-month limit go back to the Ministry as a stale-dated submission instead of being written off.
Claim adjustment
Finds paid claims that were billed below what they qualified for and requests the difference.
In an FHO, FHO+, FHG or CCM?: See the switch analysis, unrostered regulars, preventive care bonuses and premiums.
Generate your own remittance report
Paint clinics on the calendar, see the settlement, and export a PDF your accountant can use.
Paint the calendar
Assign each service date to a clinic. Set a weekday convention, or drag a range.
Final calculation
Each clinic keeps its own split. Transfers and nets update as you assign dates.
Export the PDF
A landscape split report with clinic columns, claims, extras, and nets — ready to send.
Text and email your patients from APEX
SMS and email outreach for recalls, follow-ups, and clinic news, sent now or at a time you pick.
Pick who to reach
Patients due for preventive care, a follow-up list, or anyone from your EMR or a spreadsheet.
Write the text and email
Add your clinic's name and booking link, and see how it lands on a patient's phone.
Send now or later
Now, at a date and time you pick, or saved to send again. $0.05 per 160-character text segment, $0.01 an email, all within the platform.
Your billing, anywhere, any device
Sign in with Face ID, Touch ID or Windows Hello
“The key to engineering lies in everyday life. Verismo AI is unique because it was built to solve the everyday challenges we face running our own managed clinics.”
Dr. James Hong
Founder and CEO
Frequently asked questions
What is APEX?
APEX is OHIP billing software for Ontario physicians. It puts remittance advice, rejected claims, roster, preventive care, and special premiums in one place.
Who is APEX for?
APEX is made specifically for Ontario physicians under OHIP, in any discipline.
Can I submit OHIP claims from APEX?
Yes. Upload a CSV or XLSX, review every imported row, fix codes or health numbers on the grid, and submit.
How does the customized remittance report work?
You first specify whether the physician or the clinic receives the payment, including private transactions. After selecting the service dates associated with each clinic, review the remittance PDF generated for each clinic.
What makes APEX different from other billing platforms?
APEX consolidates a broad spectrum of raw files from MCEDT — remittance claims, error reports, batch edits, and TPT — into a single, searchable platform. Its tools, like the remittance report generator and the error correction rate graph, help physicians get complete clarity on their billing faster and with greater depth.