APEX vs Dr. Bill
Dr. Bill is one of the most widely used OHIP billing apps and is owned by RBC, which also bought MDBilling.ca in 2022 and merged it into Dr. Bill. It charges a percentage of what OHIP pays you, with billing agents on its 1.95% plan. APEX charges a fixed price and reads every MCEDT file, working out fixes for rejected and underpaid claims for you to approve. If you're looking for a Dr. Bill or MDBilling alternative, this is how the two compare.
Side by side
| APEX | Dr. Bill | |
|---|---|---|
| What it is | Self-serve OHIP billing software from Verismo AI. No billing agents: the Correction Centre drafts each fix and you approve it. | Billing software with a billing agent plan. Owned by Royal Bank of Canada (RBC Medical Billing Inc.); MDBilling.ca merged into it in 2022. |
| Price | Essential: $2.99 a week billed yearly ($155.48), or $8.99 a week. Full Billing Recovery add-on: 5% of what OHIP pays on each fix, or $99.99 a month billed yearly, or $149.99 a month. | Essentials: 0.25% of paid claims. Comprehensive: 1.95% of paid claims. Group: quote. Agent help on Essentials: $50 an hour. $15 per code for privately insured patients. |
| Free trial or plan | Free plan: 5 minutes of use every 3 days, no time limit. No card needed to register. | First 2 months free on the Comprehensive plan for new users. |
| Billing agents | None. Phone and email support. | Yes, on Comprehensive (1.95%), or $50 an hour on Essentials. |
| Rejected claims | Works out the fix for many common rejections for you to approve, or sends them with Auto-fix. Codes without a fix are listed for you to correct. | Comprehensive corrects and resubmits rejected claims for you. On Essentials you fix them, or pay $50 an hour. |
| Underpaid and stale-dated claims | Claim adjustments find paid claims billed below what they qualified for. Claims past the three-month limit go through the Ministry's stale-dated process. | Premium alerts and code suggestions; claim optimization consulting on Comprehensive. Stale-dated claims: not published. |
| Remittance advice (RA) | Reads your RA, error reports, Batch Edit, roster (RCX) and preventive care files from MCEDT. Split remittance reports by clinic. | Revenue and claim status reports. RA reconciliation and inquiries are agent tasks ($50 an hour on Essentials). |
| FHO, FHO+ and roster | Roster and capitation over time, preventive care bonus status, FHO+ basket status on every code, and Group Switch Analysis comparing FHO, FHG, CCM and FHO+. | Shadow billing supported. FHO+ hourly codes, roster and preventive care bonus tracking: not published. |
| Phone | In the phone's browser, added to the Home Screen with Face ID sign-in. Scans Ontario health cards and checks them with HCV. | Native iPhone and Android app (App Store and Google Play). |
| Provinces | Ontario. | Ontario, British Columbia and Alberta. |
At a glance
| Product | Billing agent | Fixes rejections for you | Finds underpaid claims | Stale-dated claims | FHO+ and roster | Phone app | Free trial or plan |
|---|---|---|---|---|---|---|---|
| APEX | No: None; you approve each fix | Yes: Drafted for you to approve | Yes: Claim adjustments | Yes: Ministry stale-dated process | Yes: Roster, capitation, FHO+ basket | Partly: Home Screen web app | Yes: Free plan, no time limit |
| Dr. Bill | On a paid plan or add-on: Comprehensive or $50/hour | On a paid plan or add-on: On Comprehensive | Partly: Code and premium alerts | Not published | Partly: Shadow billing | Yes: iPhone and Android | Yes: 2 months on Comprehensive |
What it costs
At $30,000 paid a month, Dr. Bill Essentials (0.25%) is about $75 a month and Comprehensive (1.95%) about $585. APEX Essential is about $13 a month on the yearly plan, plus 5% of what OHIP pays on each fix if you add Full Billing Recovery.
| Plan | Includes | How it's priced | $10,000 paid a month | $20,000 paid a month | $30,000 paid a month | $50,000 paid a month |
|---|---|---|---|---|---|---|
| APEX Essential, yearly | Claim submission, Billing analysis | $12.96 a month | $13 | $13 | $13 | $13 |
| APEX Essential + Full Billing Recovery, yearly | Claim submission, Error correction, Billing analysis | $112.95 a month | $113 | $113 | $113 | $113 |
| Dr. Bill Essentials | Claim submission, Billing analysis | 0.25% of paid claims | $25 | $50 | $75 | $125 |
| Dr. Bill Comprehensive | Claim submission, Error correction, Billing analysis | 1.95% of paid claims | $195 | $390 | $585 | $975 |
When Dr. Bill may suit you better
- You want a billing agent to fix and resubmit rejections for you.
- You also bill in British Columbia or Alberta.
- You want a native phone app for entering claims.
When APEX may suit you better
- You want a fixed price that doesn't grow with your billings.
- You want rejected and underpaid claims found and fixed for you to approve, paying only when OHIP pays.
- You're in an FHO or FHO+ and want roster, capitation, preventive care bonuses and basket status next to your claims.
- You want every MCEDT file, including Batch Edit, in one place.
Questions
Can I try APEX while I keep Dr. Bill?
Yes. APEX connects by adding Verismo AI as a designee in GO Secure. That adds a designee; it doesn't remove Dr. Bill, so you can compare the two on your own claims.
Does APEX have billing agents like Dr. Bill Comprehensive?
No. APEX is software you run yourself. Its Correction Centre works out the fix for each rejected claim for you to approve, and support is by phone and email.
How much does Dr. Bill cost?
Essentials is 0.25% of paid claims and Comprehensive, with a billing agent, is 1.95%. At $30,000 paid a month that's about $75 or $585 a month. APEX Essential is about $13 a month on the yearly plan.
Is MDBilling the same as Dr. Bill now?
Yes. RBC bought MDBilling.ca in October 2022 and merged it into Dr. Bill. mdbilling.ca redirects to Dr. Bill, and former MDBilling users sign in through Dr. Bill.
Sources from Dr. Bill
- Dr. Bill pricing plans
- Dr. Bill for Ontario physicians
- Ontario shadow billing FAQ
- Dr. Bill on the App Store
- RBC bolsters bank's healthcare offering with the acquisition of MDBilling.ca
All OHIP billing software compared · APEX vs SnapBill · APEX vs DoctorCare · APEX vs OpsMed · APEX vs CabMD · APEX vs IntelAGENT · APEX vs OHIPay · APEX vs ClinicAid · APEX vs MedConcierge
Checked October 26, 2026. Prices and features are from each company's own website, checked October 26, 2026. Prices are in CAD and plus tax unless the vendor says otherwise. Plans change, so confirm with the vendor before you decide. Something out of date? Email [email protected].