Can I delete a rejected item in an otherwise PAID OHIP claim?

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:

  1. Open the claim in the edit form.
  2. Locate the X icon at the very right of the service code line.
  3. Click on the X icon.
  4. Click Save.
  5. Additional steps:
    1. Checkmark "Save Claim Anyways."
    2. 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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