OHIPay vs Dr.Bill.
OHIPay and Dr.Bill's self-serve tier charge the same 0.25% of paid claims. The difference is the cap. OHIPay stops at $29.99/month + HST; Dr.Bill's Essentials keeps scaling, uncapped. Below about $12,000/month in remittance the two cost the same. Above it, OHIPay costs less, and the gap widens as you bill more.
Same rate, different ceiling
Both tools price OHIP billing as a percentage of what the Ministry actually pays you, and on their self-serve software tiers that percentage is identical: 0.25%. At low volume the two cost exactly the same. The one number that changes the math is the cap. OHIPay stops charging once the monthly bill reaches $29.99 plus HST. Dr.Bill's Essentials tier has no publicly listed cap, so its 0.25% keeps scaling with your billings.
The crossover is the point where the capped fee and the uncapped percentage meet. It lands around $12,000 per month in paid remittance (0.25% of $12,000 is about $30). Below that line the two are effectively the same price. Above it, OHIPay costs less, and the more you bill the wider the gap. So if your monthly OHIP remittance sits comfortably under ~$12,000, price alone won't separate these two. The decision comes down to the factors below.
OHIPay vs Dr.Bill
| Feature | OHIPay | Dr.Bill |
|---|---|---|
| Price model | 0.25% of each monthly remittance, software-only | Essentials (self-serve) 0.25% of paid claims per cycle; Comprehensive (agent) 1.95% |
| Monthly cap | $29.99/mo + HST (hard cap) | No cap publicly listed |
| Human-agent / full-service tier | None (software-only) | Yes — Comprehensive 1.95% |
| Per-claim fee | None | None (Comprehensive adds specialty/private at $15/service code) |
| Free trial | 2 months free | 3 months free on the Comprehensive (agent) tier (promo to Sep 30 2026); self-serve trial not publicly listed |
| Provinces | Ontario only | Ontario + BC + Alberta |
| Advisory / rejection prevention | Advisory, non-blocking; each warning tagged with the OHIP rejection code | “Proactive error detection”; block-vs-warn behaviour not publicly documented |
| Health-card validation | MOH conformance-tested HCV | Automatic health-card validation + photo capture |
| Premium automation | Named per-code: MRP E082/E083/E084, after-hours E409/E410, IPTMA | “Premium alerts”; per-code auto-calc not publicly documented |
| Remittance (RA) reconciliation | Yes — ingest, reconcile, report | No named RA-reconciliation module publicly documented |
| Inpatient / rounding | Yes — Billing Sheet + IPTMA | Not publicly documented |
| Out-of-province (RMB) | Yes (all provinces except Quebec) | Not publicly documented |
| Mobile app | Yes | Yes (iOS / Android) |
| Scheduling | No | Not publicly documented |
| Scale / # physicians (self-reported) | Newer / Ontario-only | Self-reported 9,000+ ON / 13,000+ total (own figures vary) |
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.
Where Dr.Bill is genuinely strong
Dr.Bill is the scale leader, and it has advantages OHIPay does not. It is owned by RBC, which gives it bank-grade backing and balance-sheet stability a newer independent product can't match. It absorbed MDBilling, long one of Ontario's most established billing services, so it carries years of operational history and one of the largest physician bases in the country. It works across three provinces (Ontario, British Columbia, and Alberta), which matters if you bill in more than one. And it offers a genuine full-service Comprehensive tier at 1.95%, where an agent handles your billing end to end. OHIPay has none of that. It is Ontario-only, software-only, and newer. If any of those points is decisive for you, Dr.Bill is the stronger fit, and we'll say so plainly.
What OHIPay does differently
The cap and the breakeven. OHIPay's 0.25% is capped at $29.99/month plus HST. Once your monthly remittance clears roughly $12,000, the capped fee beats an uncapped 0.25%. And it stays flat no matter how much you bill, so your cost is predictable, not volume-linked. Below ~$12,000/month the two are the same price.
Rejection advisories tagged to the code, in the base software. OHIPay's engine is advisory and non-blocking. It never stops you entering a claim. It flags likely rejections and tags each warning with the specific OHIP rejection code it is trying to prevent, so you know exactly why. That advisory lives in the single 0.25% software tier. There is no upsell to a 1.95% agent tier to get help with rejections. Dr.Bill markets "proactive error detection" on its site, but whether its self-serve tier blocks or merely warns, and how it surfaces rejection codes, is not publicly documented.
Ontario-native depth OHIPay documents. OHIPay publicly documents a set of Ontario-specific features: IPTMA inpatient-rounding automation, out-of-province reciprocal (RMB) billing, named-premium auto-calculation (MRP E082/E083/E084, after-hours E409/E410), the daily Billing Sheet for rounding, and remittance-advice (RA) reconciliation. Dr.Bill doesn't publicly document equivalents for several of these on its site. Where its public pages are silent, we mark the matrix "not publicly documented" rather than assume absence. And OHIPay starts with 2 months free.
When to choose Dr.Bill
Choose Dr.Bill if you want bank-backed scale, if you bill in more than one province (Ontario, BC, or Alberta), or if you'd rather hand billing to a fully outsourced team than run software yourself. Its Comprehensive tier (1.95%) puts an agent on your claims to key and chase them end to end, which no software-only tool, OHIPay included, replicates. OHIPay is the better fit if you want to keep billing in-house, keep the cost capped and predictable, and lean on Ontario-specific automation. And it costs less once your monthly remittance is above ~$12,000.
Related comparisons
OHIPay vs Dr.Bill, answered
Is OHIPay cheaper than Dr.Bill?
They charge the same 0.25% rate. OHIPay caps it at $29.99/month; Dr.Bill Essentials is uncapped. So OHIPay costs less once your monthly OHIP remittance clears about $12,000. Below that, they cost the same.
How much does Dr.Bill cost?
Dr.Bill Essentials (self-serve) is 0.25% of paid claims with no cap publicly listed. Its Comprehensive tier, where agents do the billing, is 1.95%. (Verified July 2026. See Sources.)
What is a good Dr.Bill alternative in Ontario?
OHIPay is a capped, Ontario-focused, software-only alternative. Same 0.25% rate, capped at $29.99/month, with rejection-code-tagged advisories and Ontario-specific premium automation.
Where these facts come from
See where OHIPay fits for your practice
Start with 2 months free, or book a walkthrough against the kind of claims you actually bill.