Welcome to AE Medical Billings Online
Provider Information
Personal Information
First Name *
Middle Name
Last Name *
Street No *
Street Name *
Unit #
City *
Province *
Postal Code *
OHIP Billing Information
OHIP Billing Number *
Service Plan *
-- Select --
Self Serve
Guided Servivces
Full Service
Specialty Code *
Group Number *
Location Name
MCEDT Connection
Connection Type *
-- Select --
Own MCEDT Account
Assign AE-Online as Designee
MCEDT User Name *
MCEDT Password *
User Information
Email *
User Phone *
Password *
Confirm Password *
Password must contain:
✗
At least 10 characters
✗
At least 1 uppercase letter
✗
At least 1 lowercase letter
✗
At least 1 number
✗
At least 1 special character
✗
Confirm password matches
Billing Information
Billing Entity Type *
Provider
Group / Clinic
Use provider information for billing
Bill To Name *
Change this if invoices should be billed to a corporation or clinic.
Street No *
Street Name *
Unit #
City *
Province *
Postal Code *
Billing Email *
Payment Method
Payments are securely processed by
Stripe
. AE Medical Billings does not store your card or bank account details.
Credit card
PAD / bank account
Card number
Expiry
CVC
Postal code
After registration and two-step verification, Stripe will open so you can securely add a pre-authorized debit bank account.
Register and Continue
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