How to complete a Summary of Inpatient Expenses — and autofill 014-7179-84 with my-id.ca
Report inpatient expense summaries without retyping hospital and patient identifiers
Hospitals and billing staff summarizing inpatient expenses repeat hospital legal name, billing contact, patient name, and health number on every ministry expense summary. 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: Hospital chronic care co-payment — ontario.ca
- Form (Central Forms Repository): Summary of Inpatient Expenses — 014-7179-84
What this form is about
Form 014-7179-84 is the Summary of Inpatient Expenses used by hospitals to report or summarize inpatient charge information as directed by ministry hospital billing rules — confirm reporting obligations on ontario.ca.
Before you start: what to gather
- Hospital legal name, address, and billing contact.
- Patient name and health number when applicable.
- Admission and discharge dates for the stay summarized.
- Expense categories and line items — confirm calculation rules on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your hospital name and patient identity 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
- Who completes this summary?
- Hospital billing or health information management staff — confirm roles on ontario.ca.
- How does my-id.ca help?
- It autofills hospital contacts and patient health numbers used on other inpatient forms.
- How is this related to form 014-7158-84?
- 014-7158-84 reports standard ward costs; 014-7179-84 summarizes broader inpatient expenses — confirm which your hospital must file.
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.