Medical Billing for Ontario Doctors
How can I bill with fees from the previous SOB after HYPEMedical was updated with the current SOB?
HYPEMedical offers a powerful feature that empowers you, the end user, to efficiently handle service code fees from the previous schedule of benefits (SOB). First, you must turn on the option to use the previous SOB's fees: Go to SysAdmin \ Claim ...
Can HYPEMedical create a stale-dated-claim report as required in bulletin 231001?
We are having issues getting errors paid due to the recent changes. We are getting the error code VJ7 - on claims that are over three months old. Do you have a solution on how to get these processed efficiently? The Ministry states we need to ...
How do I create an RA Inquiry in HYPEMedical?
One Click - Creating A RA Inquiry, In HYPEMedical: Step 1: Find and open the claim in the Claim \ Claim Details page: Click the Add/Edit RAI Note(s) button. Type your Note(s) and Save the Add/Edit RAI Note(s) form Unchecking the service code checkbox ...
Historical R/A - How do I retreive R/A for 2020 , 2021 and 2022?
HYPEMedical displays the latest six months of RAs by default. To retrieve previous RAs: Go to Claims \ MCEDT Files \ Remittance Advice Files. Click on the green Advanced Search Options bar. Enter the required date range in the Start Date to End Date ...
I can't find one of my physician's RAs?!
Search results are limited to 500 over the most recent six months, by default, within the MCEDT Files tabs. Use the Advanced Search Options (green band) to narrow your search. In the example below, limiting the search results with a date range and ...
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 ...
Can HYPEMedical automatically upload and download MCEDT files with my GoSecure account?
HYPEMedical can do that! & more . . . HYPEMedical can automatically upload and download your MCEDT files from GoSecure. All you have to do is permit HYPEMedical to exchange files with MCEDT on your behalf as your Designee. Please follow the two-step ...
When I bill to WCB, I remove the healthcard number. Am I doing something wrong?
My WCB billing is coming back with error VH1 (OHIP number not valid)?! Workers Compensation claims can be billed via OHIP (WCB) or directly to WSIB. Billing WSIB is 3rd Party billing for non OHIP services such as filling out a form. 3rd Party ...
How do I submit as a solo physician for a group?
By default, the header of a submission batch file comprises the physician's group number, billing number and specialty. Every physician has a group number, even a solo practitioner. A group number is an alphanumeric of four characters @@@@. In the ...
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 ...
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 ...
How do I group totals inside the RA file?
Instructions for combining RA data with MS-Excel for enhanced analysis: Background: The RA file alone lacks sufficient data for comprehensive analysis across different datasets. However, HYPEMedical provides the capability to merge an RA file with ...
Should I be concerned about this code 35?
Should I be concerned about this claim? On the RA, it shows $0.00 paid with a code 35, yet in HYPEMedical it is Paid. Check out the History (Audit Trail) of this claim on the Claim Details page. In this particular case, the audit shows that the claim ...
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 ...
Where can find my RAs and transfer them to PDF?
To Find your RAs click on Claims in HYPEMedical's main menu and choose MCEDT Files. HYPEMedical's main menu Once the MCEDT Files page loads click on the Remittance Advice Files tab. In the Remittance Advice Files tab hover over the red arrow and ...
Is there keyboard Shortcut access in HYPEMedical's Interface?
Yes, there are two types using the Alt and Shift Alt keys HYPEMedical's keyboard shortcut using the Alt key and the numbers keys. For example to access the Patient History tab on the third tab of the Claim form use Alt 3. Similarly, the Alt 2 key ...
Why are there two province fields?
How do I bill a patient from Alberta? That is a great question! *The answer below applies to HYPEMedical version 3 (HM33, 43 and 53). There are two Province fields on both, the Claim Details and Edit Patient forms: The Province field next to the ...
How do I bill patients from other provinces?
All other provinces, except Quebec, are handled by OHIP in claim type RMB. RMB = Reciprocal Medical Billing.In addition, HYPEMedical may recognize the number as belonging to another province. In this case the province will be picked along with the ...
How do I bill Quebec’s provincial insurance program?
There are two separate methods to print documents with HYPEMedical. The first option is HYPEMedical's PDF Generator that includes the "QC_RMB_0000-80.pdf" PDF.": PDF Generator: A complete claim, on a single PDF form per claim, scaled according to the ...
How do I flag a claim or bill with Manual Review?
One Click - Creating A Manual Review Form, In HYPEMedical: Step 1: On the Claim form: Create or Edit/open a claim. Click the Man Rev check mark to flag the claim. Click the + icon next to Man Rev to load the Manual Review work form. Step 2: On the ...
How do I Print a Receipt/Invoice?
Generate Receipts, Invoices, and Refund statements in HYPEMedical: Immediately after saving a Direct or Third-party claim (invoices & receipts). In Claim Details Billing Cycle From the patient’s Service History in patient profiles Print an invoice or ...
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 Manage several claims at a time?
Each claim item record, by default, is selected with a checkmark on the left. The blue Bulk Action Buttons are positioned above the claim items. Clicking the “EDIT” button will place all selected claims in a queue, and the queue will present the User ...
Can I build my own database queries in HYPE Medical?
An Introduction to The Billing Cycle. In the Billing Cycle, Queries are built visually by the user. The Billing Cycle offers the user two query-building components. In the first component, the user visually creates a search using most of the possible ...
How Can I View and Print Old Batch Submissions
To print an old batch submission: Hover over Claims, click Claim Files, click the Batch Submissions tab Hover over the red arrow Choose Batch Details (PDF) Batch Details & other available reports for existing submission batches. *Originally published ...
VHC – SLI Rejection Code
Debbie from Windsor recently emailed us with a question re VHC. All her G310A’s came back with an unknown error – VHC. We were stumped and OHIP promptly responded to our email regarding the “VHC” error code. Please see below for details. Effective ...
Archived MCEDT Files
How can I access archived remittance advice files? In the MCEDT Files form of HYPE Medical, you will find all of the electronic data transmission files under several tabs. These files are your batch submissions and OHIP's reports (Batch Edits, Error ...
Efficient Billing Cycle Search In Two Hospitals
Periodically I need to search for my doctor’s past claims for a particular date period and hospital locations. What’s an efficient way to do that? Have a look at the image below at how I would perform that in a single search. Set up the search ...
Downloading an RA in Raw OHIP Format
Did you know that one format HYPEMedical has for downloading an RA is in the same format that OHIP originally released it? Yes, in addition to the usual RA report in PDF and Spread Sheet formats a raw format may be required. A colleague may need to ...
Where are the submission batches that I created?
You can find your Batch Submissions in the Batch Submissions tab in MCEDT Files. MCEDT Files \ Batch Submissions The Batch Submissions tab may hold many files. To help find particular files use the sorting function by clicking on a column title. The ...
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 ...