Healthcare ERP for Canada

Physician billing to provincial health plans follows province-specific fee schedules and billing codes. In Ontario, the Ontario Health Insurance Plan (OHIP) uses specific billing codes and submission formats. In British Columbia, the Medical Services Plan (MSP) uses its own codes and processes. Quebec RAMQ follows yet another system. Each province has different requirements for claim submission, reconciliation, and payment processing. Hospital funding follows a mix of global budgets, activity-based funding, and quality-based allocation that varies by province.

Healthcare data protection follows PIPEDA at the federal level, but several provinces have enacted their own health information protection legislation. Alberta HIPA, Ontario PHIPA, and other provincial health privacy laws add province-specific consent, access, and breach notification requirements. The pan-Canadian health information standards developed by Canada Health Infoway guide interoperability and digital health initiatives.

Yukti provides Canadian healthcare organizations with multi-province billing that handles OHIP, MSP, RAMQ, and other provincial plan submission formats and fee schedules. The claims module manages billing code mapping across provinces for multi-location healthcare groups. Private insurance and employer benefit plan billing supplements provincial plan coverage with patient co-payment calculations. Health information management follows the applicable provincial privacy legislation with consent tracking, access logging, and breach notification procedures tailored to each province requirements. The pharmacy module handles provincial drug formulary compliance and the different drug benefit programs across provinces. Payroll processes healthcare collective agreements with the different pay scales, benefits, and pension plans specific to each province healthcare system.