APEX vs OpsMed
OpsMed is a managed billing service for FHO and FHO+ family physicians at 1.5% of paid claims, with an FHO+ time-capture service from $650 a month. APEX is software you run yourself at a fixed price, with FHO+ basket status, roster, capitation and preventive care bonuses next to every claim.
Side by side
| APEX | OpsMed | |
|---|---|---|
| What it is | Self-serve OHIP billing software from Verismo AI. No billing agents: the Correction Centre drafts each fix and you approve it. | Managed OHIP billing service, plus an FHO+ time-capture service. Recruiting its first practices. |
| 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. | OHIP billing: 1.5% of paid claims. FHO+ time capture: $650 per physician a month plus $1.60 per 15-minute increment. Complete Package: $650 a month plus $1.40 per increment plus 1.25% of paid claims. |
| Free trial or plan | Free plan: 5 minutes of use every 3 days, no time limit. No card needed to register. | 90-day pilot guarantee on the FHO+ and Complete plans; free 30-day pilot for its first 3 clinics. |
| Billing agents | None. Phone and email support. | Yes: fully managed, with no separate agent fee. |
| 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. | OpsMed investigates and resubmits rejections, included in the 1.5%. |
| 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. | Missed code detection and stale-date recovery for claims nearing the 3-month limit. |
| Remittance advice (RA) | Reads your RA, error reports, Batch Edit, roster (RCX) and preventive care files from MCEDT. Split remittance reports by clinic. | Every RA matched to submitted claims, with a monthly reconciliation report. |
| 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+. | FHO+ Q310–Q313 time capture, shadow billing review and continuity of care monitoring. |
| 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. | Not published. |
| Provinces | Ontario. | Ontario. |
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 |
| OpsMed | Yes: Fully managed | Yes: Included in 1.5% | Yes: Missed code detection | Yes: Before the 3-month limit | Yes: FHO+ time capture | Not published | Partly: Pilot guarantee |
What it costs
At $30,000 paid a month, OpsMed's 1.5% is about $450 a month before any FHO+ time capture. 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 |
| OpsMed OHIP billing | Claim submission, Error correction, Billing analysis | 1.5% of paid claims | $150 | $300 | $450 | $750 |
When OpsMed may suit you better
- You want your billing fully managed for you.
- You want FHO+ hourly time captured automatically from sensors, your EMR and phone system.
When APEX may suit you better
- You want to keep control of your own billing at a fixed price.
- You want roster, capitation, preventive care bonuses and FHO+ basket status on one dashboard.
- You want an FHO+ calculator: Group Switch Analysis compares your income under FHO, FHG, CCM and FHO+.
Questions
Does APEX handle FHO+ shadow billing?
APEX shows whether each billing code is in the FHO+ basket and reads your roster and capitation from MCEDT, so you can see what was shadow billed and what was paid.
Can APEX estimate my income under FHO+?
Yes. Group Switch Analysis estimates your income under FHO, FHG, CCM and FHO+ side by side from your own billing.
Sources from OpsMed
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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].