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Full Service - Question About Rejected Claims

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About Rejected OHIP Claims and Full Service Billing Agents

Question

One of my claims was rejected and one was a billing importer error.

I was just wondering if part of the full service is to track down the reason for rejection and let me know how we can rectify it? If so, how often should I expect to receive an email from you regarding the rejected claims?

Thanks,

Dr. T

Answer

Correct. Full service includes fixing the billing importer errors and rejections. We will only contact you when there's missing information that we are unable to obtain from other resources. You will also be receiving a monthly reconciliation summary from your billing agent within a few days after your payment report arrives.

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