How to submit an OHIP health claim — and autofill 014-4420-84 with my-id.ca
File insured health claims without retyping patient and provider details
Standard OHIP health claims repeat patient identifiers, provider billing numbers, and service details on every form. This guide is an example of storing them once in my-id.ca.
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): Health Claim — 014-4420-84
What this form is about
Form 014-4420-84 is the Health Claim form used by health care providers to bill OHIP for insured services.
Before you start: what to gather
- Patient name and health number.
- Provider OHIP billing number and practice location.
- Service date and fee or diagnostic codes.
- Referral or admission details when applicable.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient name and provider billing details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- How is this different from form 3977-84?
- Form 3977-84 targets diagnostic and treatment services; 014-4420-84 is the general health claim — confirm which form your service requires.
- How does my-id.ca help?
- It autofills patient health numbers and provider billing details you reuse on every claim.
- Can I batch multiple patients?
- Save each patient profile in my-id.ca so repeat claims start mostly filled.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.