Adding a Group Billing Number

This article walks you through how to add a solo billing number or group billing number to a provider's profile in Avaros, and explains when you may need to set up two separate profiles to handle billing under both numbers.

Both solo billing numbers and group billing numbers are entered in the same location within a provider's profile. To get there, navigate to:

Administration → User Management → Manage Users

Go to Administration from the main menu.
Select User Management, then click Manage Users.
Search for the provider you'd like to update and select their profile.
Select the Billing Information tab.
Enter the appropriate number:
- Use the Provincial Billing Number field for the provider's individual billing number.
- Use the Group Billing Number field for a group billing number.
  Note: Both should be entered if billing under the group number.
Save your changes.

Once a billing number is saved on a provider's profile, claims will automatically default to that provider when an appointment is booked under their name. If no billing number is present, the claim will fall back to the patient's Most Responsible Provider (MRP) on file, if no MRP is listed on file then it will be the first billing provider in the list.

Understanding the Difference Between a Solo and Group Billing Number

A solo billing number is the provider's individual 6-digit OHIP billing number, issued by the Ministry of Health. It identifies the specific physician submitting a claim and is required before any OHIP claims can be processed. Each physician remains personally responsible for any claims submitted under their billing number.

A group billing number is a separate number issued by the Ministry of Health that allows individual physicians to have their billings associated with a group (Such as an FHO). It is important to note that a group number is not a billing number on its own, a physician's individual billing number must still be present on the claim. When a group number is included, payment is typically directed to the group's bank account rather than the individual physician's account.

Setting Up Two Profiles for Solo and Group Billing

In some cases, a provider may need to bill under both a solo number and a group number depending on the visit or clinic arrangement. Since the billing number on a profile applies to all claims submitted through that user, the cleanest solution is to create two separate profiles, one for each billing type.

Profile 1 — Solo billing

Set this profile up with the provider's individual billing number in the Billing Number field. Use this profile when booking appointments that should bill under the provider's personal number.

Profile 2 — Group billing

Set this profile up with the group billing number in the Group Billing Number field. Use this profile when booking appointments that should bill under the group. It is recommended to add the group billing number to the last name in brackets so it is easy to differentiate the two profiles.