How can I find the claims that OHIP has rejected?
HYPEMedical automatically downloads and processes your OHIP reports. One of these reports, the Error Report, is automatically downloaded and processed by HYPEMedical. Processing the Error report flags claims with errors as Rejected Claims.
To find your Rejected claims:
- Hover over the Claims tab and choose Billing Cycle.
Click the blue Rejected button.
- 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 report.
A more comprehensive explanation:
HYPEMedical's Billing Cycle is a simple and powerful reporting tool, providing an interface for search and drill-down analysis of all your billing records.
HYPEMedical's Billing Cycle is simple for the beginner; Note its three basic quick searches for Unsubmitted, Submitted and Rejected claims. Yet HYPEMedical is a robust performer, empowering the user with many more search parameters, granular reports and access to each event in a claim's life cycle.
In addition, users can define custom data queries employing dozens of possible report column combinations. Each column represents values such as "Service date," "Service code," "Error file name," "Last submission date," "Created by… and.. Updated by user id," and more.
Users can define custom data queries employing dozens of possible report column combinations.
Visually build any search query with Billing Cycle's Advanced Search Options.
HYPEMedical's Billing Cycle empowers users with all possible claim search parameters to exact granular reports.
*Originally published May 16, 2020
*Updated January 30, 2023
What are Unresolved Claims?
Un-Resolved is an HYPEMedical tool designed to eliminate stale dated claims. HYPEMedical defines Un-Resolved as unpaid claims with a service date exceeding six weeks from the current date. The Un-Resolved report will alert you to outstanding claims ...
Where can I find the claims I saved?
How would I edit a claim I have just saved (Unsubmitted) or revise a Rejected claim? First step: go to Billing Cycle. Hover over Claims in the main menu and click on Billing Cycle. HYPEMedical will compile a list of Unsubmitted (Saved by the user) or ...
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 ...
What outcomes can I expect for my claim submission to OHIP?
There are four possible outcomes or scenarios: The Four Scenarios Most OHIP claims follow the ideal billing flow shown in the rightmost flow chart (Best Scenario). In the "Best Scenario" a Claim is entered and saved to the UNSUBMITTED status, then ...
How do I track a Claim through Hype Medical?
The HYPEMedical`s Billing Cycle tracks claims through four status’s UNSUBMITTED claims that have been saved by the user SUBMITTED claims that have been submitted for payment by the user to OHIP [as well as individual patients, or private ...