I have OHIP claims in September that are still sitting in the submitted status. How do I fix that & how did that happen?
I have looked at your account's Quick Reports on your HYPEMedical's Home page and found 64 Unresolved claims.
I clicked on its green icon loading a Billing Cycle report.
The same report is accessible directly from Billing Cycle by clicking on the blue Unresolved button.
In Billing Cycle I chose a sample claim and right-clicked Claim Details from the red arrow's menu.
I learned the submission batch file name from the Claim Details form, and I clicked on the batch submission file name.
I discovered that MOHLTC never acknowledged the submission batch file with a batch edit report.
- In Billing Cycle, click on the blue Unresolved button to load all the unpaid claims that are older than 6 weeks.
- Click on the bulk blue Mark as Unsubmitted button.
- Submit the claims.
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 ...
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 ...
Can I delete a duplicate OHIP/medical claim in HYPEMedical?
Yes, you can; If your user account has the ClaimDelete permission. A duplicate claim occurs when at least one service code for the same service date and health card number exists on two separate claims. Duplicate claims are sometimes allowed in ...
How do I delete an OHIP Claim?
I billed the wrong patient, how do I delete that OHIP claim if I have already created a newer OHIP claim with the right patient? In HYPEMedical, claim deletion is available in the three places where you would normally search for a claim: The Claim ...
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 ...