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OHIP Billing Tip #6 - Deleting a Claim

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How to delete a claim

If the claim status is "Saved" or "Unsubmitted", Essentials users can delete the claim by going to the "Lookup Claims" page -> "Action" -> "Delete".
Deleting a medical claim action item
If the claim status is "Rejected", "Paid", or "Adjusted Payment", you cannot delete the claim due to auditing purposes. However, you can archive a rejected claim by going to the "Lookup Claims" page -> "Action" -> "Archive". 

If the claim status is "Submitted", no changes can be made to it. You will need to submit an RA Inquiry form to your MoH Claim Assessor once the payment report has been received in order to request adjustments to the claim.

If you are a Concierge user, please reach out to your billing agent to delete the claim.

Please also watch our video tutorial named Claims - Deleting and Cloning

For more billing tips, please check out our OHIP Billing Tip Library.

Questions? Check under the HELP tab or send an email to support@mdbilling.ca

 

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