Can I delete a rejected item in an otherwise PAID OHIP claim?
Instructions for handling mixed status claims:
Prerequisites: Ensure your user account has the necessary permissions to manage mixed status claims. A mixed status claim refers to a situation where service codes within a claim are not all in the same status. This may occur when a claim has been paid with an exceptional service code that wasn't (perhaps it hould not have been billed).
To delete the service code that wasn't paid:
- Open the claim in the edit form.
- Locate the X icon at the very right of the service code line.
- Click on the X icon.
- Click Save.
- Additional steps:
- Checkmark "Save Claim Anyways."
- Click Save.
Important Note:
Ignore the red warning popup if you do not wish to resubmit the claim. Saving a claim where all service codes are PAID (therefore NOT Unsubmitted) will not trigger the resending of the claim to OHIP.
General Note:
Typically, once an OHIP claim has been processed and contains a rejected item, it is advisable not to delete or modify specific items individually. Instead, you may need to correct the rejected item or submit a new claim with the necessary adjustments.
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