How to authorize IHP NP SERT participation — and autofill 014-4751-84 with my-id.ca
Enroll nurse practitioners in NP SERT without retyping registration and billing details
Nurse practitioners joining the Service Encounter Reporting and Tracking (SERT) initiative through IHP programs repeat their legal name, College of Nurses registration, IHP billing number, and practice contact information on the authorization form. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Claims submission — Resources for Physicians — ontario.ca
- Form (Central Forms Repository): IHP NP Authorization for Participation in the NP SERT Initiative — 014-4751-84
What this form is about
Form 014-4751-84 is the Interdisciplinary Health Provider (IHP) Nurse Practitioner (NP) Authorization for Participation in the NP Service Encounter Reporting and Tracking (SERT) Initiative, required when NPs bill through IHP using SERT reporting.
Before you start: what to gather
- NP full legal name and practice address.
- College of Nurses registration and IHP billing number.
- Authorized contact phone and email.
- SERT program details — confirm enrollment steps on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your name, registration, and IHP billing details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- Do I also need an EDT undertaking?
- NP electronic claims may also require form 014-4721-84 — confirm on ontario.ca.
- How does my-id.ca help?
- It autofills your name, address, and billing number across IHP and NP ministry forms.
- Who can submit this authorization?
- Ontario nurse practitioners enrolling in IHP SERT — confirm eligibility on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.