PatientTrac Companion | Reimbursement Series

Connected clinical information moving across multiple care settings and administrative pathways
Canadian virtual-care funding is provincial; product and reimbursement assumptions must be validated jurisdiction by jurisdiction.

A family physician in Ontario finishes a video visit with a patient referred by a walk-in clinic. It is the first time they have met. She submits the claim at her usual fee. When the remittance arrives, the payment for the visit is twenty dollars.

That twenty dollars is Ontario's price for a video visit when no prior in-person relationship exists.

Under the 2021–2024 Physician Services Agreement, the Ontario Ministry of Health and the Ontario Medical Association agreed on a virtual care funding framework that made certain video and telephone services insured under OHIP. The framework took effect on December 1, 2022. Physicians can bill 100 per cent of the in-person fee for some video visits, but only with an ongoing physician-patient relationship, such as an in-person visit within the last two years. Without one, the fee is $20 for video and $15 for telephone. Video visits must also use platforms on the province's "Verified Solutions List for Virtual Visits."

Those are Ontario's rules alone. Each province negotiates its own schedule of benefits with its own medical association, so a virtual-care product entering Canada meets a different rulebook at every provincial border. There is no national code that pays for remote engagement across the country.

Two realistic routes follow from that structure. The first is supporting insured virtual services within an existing physician relationship, where the fee schedule already pays. The second is health-system procurement, where a provincial health authority or hospital buys a platform to deliver a program it already funds.

PatientTrac Companion's Canadian case rests on both routes, applied province by province. In Ontario, that means supporting follow-up for patients a practice already sees, and qualifying for any provincial platform lists that apply before video workflows are offered. Elsewhere, it means reading each schedule separately before promising anything.

The physician's twenty-dollar remittance is not an error. It is the provincial rule working as written, and any vendor selling into Ontario must account for it.

Reimbursement information is provided for educational purposes and reflects publicly available guidance reviewed as of September 28, 2026. Coverage, coding, documentation requirements, medical necessity and payment vary by payer, locality, patient circumstances and service. PatientTrac supports clinical and documentation workflows and does not determine code selection or guarantee reimbursement. Qualified billing and clinical staff should verify current payer requirements.

Primary Sources

Sources reviewed September 28, 2026. Links should be rechecked at publication and during periodic reimbursement review.