Learn what a personal claims history is and how to request a copy.
A personal claims history is a record of claims paid by OHIP . It lists payments made to health care professionals. These payments are for OHIP insured medical services received by an individual. This is personal health information.
The personal claims history lists the following information:
A personal claims history is not a medical record. Contact your health care professional for medical records about diagnosis and testing.
You have a right to access your personal claims history. They are records of your personal health information. You must have an Ontario health card number to request your personal claims history.
The ministry will process requests within 30 calendar days.
You are an individual requesting a personal claims history if you are requesting:
The ministry will process requests within 30 calendar days. There is no cost associated with an individual request.
To submit a request for individual personal health information:
You will receive a confirmation email. If you do not receive a confirmation email, contact: Claims Services Branch Inquiry Services at 1-800-262-6524 .
If you do not have access to the online form, contact: Claims Services Branch Inquiry Services at 1-800-262-6524 and request a paper copy.
To submit the paper form, please mail to:
Ministry of Health
Personal Health Information Office
49 Place d'Armes
Kingston ON K7L 5J3
Note: To process an individual request for personal claims history:
If you need to update your address, contact ServiceOntario before submitting your application request.
You are a third party requesting a personal claims history if you are requesting:
Third parties may ask a for personal claims history with the proper consent.
The ministry will process requests within 30 calendar days. There is a mandatory fee of $74 for a third-party request.
For a third party to ask for the release of health information, they must first get signed consent.
To provide this consent, the individual or substitute decision maker, must:
To process the OHIP third party disclosure request form the:
To submit a request for third party personal claims history:
Important: Before sending to the ministry attach the signed Consent Authorization form.
Selecting Submit will send you to the online payment webpage, CCPay. CCPay is an online payment service used by the Government of Ontario. It enables web-based payment requests for customers over the Internet. Offering real-time, secure, processing of online payment via credit cards (Visa or MasterCard).
Note to Mac/Apple/Mobile users: Currently online payment is unavailable.
Your application submission has not been successful if:
For help call Claims Services Branch Inquiry Services at 1-800-262-6524 .
To submit the paper form, please mail to:
Ministry of Health
Personal Health Information Office
49 Place d'Armes
Kingston ON K7L 5J3
There are two types of reports you can request, but only one type of report can be selected in Section 1 of the form.
The Full Personal Claims History includes service dates, fee service code ( FSC ) and FSC description, fee paid, provider and clinic details.
The Limited Personal Claims History only includes service dates and provider number for services. This option will support request to Citizenship and Immigration Canada ( CIC ), or WSIB .
If an individual or their substitute decision maker disagrees with information in the personal claims history, contact the Ministry of Health at 1-800-262-6524 .
Disputing a claim will not remove the claim from the ministry’s computer record. It will flag the claim as disputed.
The Full Personal Claims History contains the information shown below:
Personal Claims History for: Health Number, Name
Claim Period: Start Date to End Date
| Service Date | FSC + FSC Description | Clinic Name Clinic Municipality | Provider Name Provider CPSO # Provider Municipality | Referring Physician Referring Physician CPSO # Referring Physician Municipality | Spec Code # / SERV Fee Paid | Hospital # |
|---|---|---|---|---|---|---|
| YYYY-MM-DD | A007A Intermed, Asses/Well Baby Care-F.P.F.P/Paed | Gen Clinic Hamilton | A.N. Other 000000 Toronto | J. Doe 000000 Ottawa | 00 1 $33.70 | 0000 |
Health No : The individual's 10-digit Ontario health card number. Name: The individual’s first and last name. Service Date: The date service(s) were received. FSC (Fee Schedule Code): A code used by the ministry to identify the service provided. For a more detailed description of each FSC , please consult the Schedule of Benefits. FSC Description: A brief description of the service provided. Clinic Name: If you received services from a clinic, this is the name of the visited clinic. Clinic Municipality: The municipality of the visited clinic. Provider Name: The first and last name of the health care professional who provided the service. Provider CPSO #: A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies which health care professional provided the service. You can use this number to look up contact information for the provider. Provider Municipality: The municipality of the health care professional who provided the service. Referring Physician: The first and last name of the referring provider, if applicable. Referring Physician CPSO #: A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies the referring provider if the service resulted from a referral. You can use this number to look up contact information for the provider. Referring Physician Municipality: The municipality of the referring provider, if applicable. Spec Cd (Specialization Code): The ministry uses this code to identify the type of specialist that provided the service(s). # / Serv: The number of units billed for this visit. Fee Paid: The fee paid to the health care professional for the service. Hospital No: If a hospital provided the service, the ministry uses this code to identify the hospital.
The Limited Personal Claims History contains the information shown below:
Note: This report contains less personal health information than the complete report. It is often requested as documentation for:
Limited Personal Claim History for:
Health No , Your Name
Claim Period: Start Date TO End Date
| Service Date | Provider Name | CPSO Number |
|---|---|---|
| 2015-03-12 | John Doe | 123456 |
Health No : The individual's 10-digit Ontario health card number. Name: The individual’s first and last name. Service Date: The date service(s) were received. Provider Name: The first and last name of the health care professional who provided the service. CPSO #: A unique identifier used by the College of Physician and Surgeons of Ontario. This identifies which health care professional provided the service. You can use this number to look up contact information for the provider.