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Billing code

Q200A — Per Patient Rostering

Patient enrolment code

Bill Q200A at zero when a patient enrols with you, using the date on the signed enrolment and consent form as the service date.

Watch for: Send it under your enrolment group's number, not the solo billing number (group 0000), or the enrolment isn't accepted.

Code

Q200A

Description

Per Patient Rostering

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Jun 1, 2015

Termination date

No end date

Explanation

Updated October 26, 2026

No-fee rostering code that tells OHIP a patient has enrolled with the physician. The service date is the date on the signed enrolment form.

What it covers

Q200A is the per-patient rostering fee code. It is billed at zero, and submitting it triggers the patient's enrolment in the Ministry's system (OMA Q-codes guide p.9). It is used in CCM, FHG, FHN, FHO, RNPGA, BSM, SJHC, SEAMO and WHA models (AQ3).

In an FHO, base capitation is paid for each day a patient is enrolled to the physician (Agreement p.59 §4.1). Appendix Q is information only (AQ1); the rules below come from the 2020 OMA Q-codes guide.

Billing rules

• Submit Q200A when a patient enrols with the physician (OMA Q-codes guide p.9).
• The service date must be the date on the Patient Enrolment and Consent to Release Personal Health Information (E/C) form (OMA Q-codes guide p.10).
• Since February 1, 2013, the E/C form is kept in the office for your records, not sent to the Ministry (OMA Q-codes guide p.10).
• Bill it at zero (AQ3; OMA Q-codes guide p.9).
• Long-term care patients are rostered with Q202A instead, in FHN and FHO (OMA Q-codes guide p.10).
• Q023A may be billed with Q200A for the same patient when the unattached-patient criteria are met (OMA Q-codes guide p.10).

Often billed with

• Q023A unattached patient fee, with the same E/C form date, when the patient qualifies (OMA Q-codes guide p.10).
• Q043A new patient fee for a referred patient with an abnormal colorectal screen, also dated on the E/C form (OMA Q-codes guide p.11).

Common rejections

• EP1: OHIP didn't accept the enrolment transaction; in APEX's claims data the usual cause is a Q200A sent under the solo billing number (group 0000) instead of the enrolment group's number.
• VJ7: The service date must be the E/C form date, so a Q200A sent more than three months after the form was signed is stale-dated.
• EH2: The health card version code on the claim doesn't match OHIP's record for the patient; get the current version code and resubmit.
• EQF: The physician is linked to the group on the claim, but the membership wasn't active on the E/C form date.
• EQD: The group number on the claim wasn't active with the Ministry on the service date.

Related codes: Q201, Q202, Q023, Q043, Q053, Q402

Source: Schedule of Benefits (July 1, 2026), Appendix Q (information only), Rostering Fees, page AQ3

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing