All physicians in receipt of SEAMO funding are required to use one of two service models to submit their billing:
The full-service model is provided by SEAMO Billing Services (SBS). Claims submission and follow-up, error correction, payment reconciliation, OHIP physician group registration, preparation of ad-hoc or routine claim audits and identification of claim maximization opportunities is performed by certified billing clerks with expertise in a multitude of specialties. The cost of the full-service model is 1% of the value of approved claims.
Physicians using the self-service model will submit claims using specialized SEAMO software. Physicians, or an external billing agent of their choosing, are responsible for entry, submission and follow-up of claim data, error correction, payment reconciliation, OHIP physician group registration, and ensuring the safety of patient information. Software licensing fees are currently paid by SEAMO, however, individual physicians assume the cost of claims processing.
To sign up for either the full or self-service model of billing, click here to go to the member login page.