How can I correct the claims that OHIP has rejected?
To find your Rejected claims:
- Hover over the Claims tab and choose Billing Cycle.
- Click the blue Rejected button.
- Options:
- Rejected [All]: a search for all claims rejected by OHIP.
- Rejected [Error Report]: a search for claims rejected by OHIP via an Error Report.
- Rejected [RA]: a search for claims returned by OHIP via a Remittance Advice (RA) report.
This following assumes that Rejected [All] was selected. Rejected [All] will include rejections from Error (3-character explanation codes) and RA reports (2-character explanation codes).
After clicking on Rejected [All], Billing Cycle results will load a report.
Find the the column titled Expl. Code (Explanation Code).
Hover over an Expl. Code i and HYPEMedical will display the code's description in a popup.
Hover over an Expl. Code i and HYPEMedical will display the code's description in a popup.
To correct several claims at a time check mark the relevant claims and click on the the blue Edit button.
The blue bulk commands
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