Best OHIP billing software, compared.
A plain comparison of the software Ontario physicians use to bill OHIP: real pricing, real features, and who each tool actually fits. Most practices land on one of three. This page puts OHIPay, Dr.Bill (which now includes the former MDBilling), and CabMD side by side.
No tool wins outright. The right one tracks your billing volume and how much of the work you want to run yourself.
OHIPay fits physicians and staff who want a capped, predictable bill ($29.99/month) plus Ontario-specific automation they operate themselves. Dr.Bill fits practices that want a bank-backed vendor, billing in more than one province, or a full-service agent. CabMD fits those who want a built-in scheduler and a long Ontario track record.
What actually matters when you compare
The right OHIP billing tool depends less on a feature checklist than on four questions. First, the price model: is it a percentage of what you bill, a flat monthly fee, or a mix? And is that percentage capped? An uncapped 0.25% and a capped 0.25% cost the same at low volume. They diverge sharply as your billings grow.
Second, does the software help you avoid rejections before you submit, rather than only reporting them after the Ministry sends back an error? Third, how deep is its Ontario-specific automation? Premium codes (MRP, after-hours), inpatient rounding, and out-of-province reciprocal billing are where Ontario claims get fiddly. Fourth, do you want software you and your staff operate, or a full-service team that keys and chases claims for you?
Those four questions matter more than any single feature. The table below shows where OHIPay, Dr.Bill, and CabMD land on each, so you can weigh them against your own monthly billing rather than a generic scorecard.
OHIPay vs Dr.Bill vs CabMD
| Feature | OHIPay | Dr.Bill | CabMD |
|---|---|---|---|
| Price model | 0.25% of each monthly remittance, software-only | Essentials (self-serve) 0.25% of paid claims per cycle; Comprehensive (agent) 1.95% | Self-Service $40/mo flat per physician; Full-Service 1.95% (via JCL) |
| Monthly cap | $29.99/mo + HST (hard cap) | No cap publicly listed | Flat $40 (no cap); Full-Service 1.95% uncapped |
| Human-agent / full-service tier | None (software-only) | Yes — Comprehensive 1.95% | Yes — Full-Service 1.95% (JCL) |
| Per-claim fee | None | None (Comprehensive adds specialty/private at $15/service code) | None (unlimited OHIP + non-OHIP) |
| Free trial | 2 months free | 3 months free on the Comprehensive (agent) tier (promo to Sep 30 2026); self-serve trial not publicly listed | 60 days (Self-Service) |
| Provinces | Ontario only | Ontario + BC + Alberta | Ontario only |
| Advisory / rejection prevention | Advisory, non-blocking; each warning tagged with the OHIP rejection code | “Proactive error detection”; block-vs-warn behaviour not publicly documented | Pre-submission missing-info check; error highlighting on rejects |
| Health-card validation | MOH conformance-tested HCV | Automatic health-card validation + photo capture | Card scanning + demographic lookup; real-time HCV eligibility not publicly documented |
| Premium automation | Named per-code: MRP E082/E083/E084, after-hours E409/E410, IPTMA | “Premium alerts”; per-code auto-calc not publicly documented | “Identifies billing opportunities”; per-premium auto-calc not publicly documented |
| Remittance (RA) reconciliation | Yes — ingest, reconcile, report | No named RA-reconciliation module publicly documented | Yes — auto RA retrieval + RAI dispute flow |
| Inpatient / rounding | Yes — Billing Sheet + IPTMA | Not publicly documented | Yes — Roster + Inpatient Claim Wizard |
| Out-of-province (RMB) | Yes (all provinces except Quebec) | Not publicly documented | Yes |
| Mobile app | Yes | Yes (iOS / Android) | Yes (iOS / Android, GPS) |
| Scheduling | No | Not publicly documented | Yes — add-on $29.99/mo |
| Scale / # physicians (self-reported) | Newer / Ontario-only | Self-reported 9,000+ ON / 13,000+ total (own figures vary) | Self-reported 8,500+, ~$105M billed/month |
Verified 2026-07-23. Competitor figures are from their own public pages (see Sources); vendor-reported counts are labelled as such. Cells marked “not publicly listed/documented” were not stated on the vendor’s public site.
A quick, fair read on each
OHIPay is the Ontario-native option built around a hard price cap: 0.25% of each monthly remittance, capped at $29.99/month plus HST, with the first two months free. Its advisory engine never blocks a valid claim; it tags each warning with the exact OHIP rejection code it is trying to prevent. It goes deep on Ontario specifics: MRP and after-hours premiums, inpatient rounding, remittance reconciliation, and out-of-province billing. It is also the newest and smallest of the three, and it is software-only, with no full-service human tier and no built-in scheduling.
Dr.Bill (which now includes the former MDBilling) is the scale leader, owned by RBC; it absorbed MDBilling, long one of Ontario's most established billing services. It works across Ontario, British Columbia, and Alberta. Unlike OHIPay, it also offers a genuine full-service Comprehensive tier, where an agent handles your billing end to end. Its self-serve Essentials tier shares OHIPay's 0.25% rate, but that rate is not publicly capped, so the cost keeps climbing as you bill more.
CabMD has a long Ontario track record and self-reports 8,500+ physicians and roughly $105M billed per month. It bundles an integrated scheduler (a $29.99/month add-on), Remittance Advice Inquiry (RAI) dispute handling, and a full-service option through JCL, plus a 60-day trial. Its self-service plan is a flat $40/month per physician rather than a percentage. Depending on how much you bill, that flat fee can land above or below a capped percentage.
When a full-service biller is the better choice
Sometimes the better answer is not software at all. If you'd rather hand billing to a human team entirely, so someone else keys your claims and chases rejections, a full-service tier fits better than any software-only tool, OHIPay included. Dr.Bill Comprehensive and CabMD's JCL option both run around 1.95% of billings. OHIPay is for physicians and staff who want to keep control, keep cost capped and predictable, and get Ontario-specific automation.
Head-to-head
OHIP billing software, answered
What is the best OHIP billing software?
There's no single winner; it depends on your billing volume and whether you want software you control or a full-service team. OHIPay suits physicians who want capped, predictable cost ($29.99/month) and Ontario-specific automation. Dr.Bill (which absorbed MDBilling) suits those who want a bank-backed, multi-province, or fully outsourced option. CabMD suits those who want an integrated scheduler and long Ontario track record. Compare the table above against your own monthly billing.
What is the cheapest OHIP billing software?
It depends on volume. OHIPay and Dr.Bill Essentials share the same 0.25% rate, but OHIPay caps it at $29.99/month while Dr.Bill's is uncapped. Above about $12,000/month in remittance, OHIPay costs less. CabMD is a flat $40/month. Below ~$12,000/month, OHIPay and Dr.Bill cost the same, and CabMD's flat fee may be higher or lower depending on your billings. (Verified July 2026.)
Does OHIP billing software charge per claim?
None of OHIPay, Dr.Bill, or CabMD charges a per-claim fee for OHIP claims. They price as a percentage of paid claims or a flat monthly fee. Dr.Bill's Comprehensive tier adds a per-service-code fee for specialty/private billing.
See where OHIPay fits for your practice
Start with 2 months free, or book a walkthrough against the kind of claims you actually bill.