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OHIP Billing Tip #22 - Manual Review

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How to create a manual review claim

All OHIP claims go through an automated process to check the validity and authenticity. When a claim requires an in-depth assessment by the Ministry of Health, you will often be asked by your assessor to provide the patient notes for manual review. 

To "flag" a claim as "manual review":

  1. Check the Manual Review box when submitting the claim.
  2. Submit the required notes/supporting documents to the MoH 
  • by fax: 905-434-4186
  • via eSubmit

      3. After faxing your documents, follow up with the MoH (toll-free number: 1-800-262-6524).

 

Manual review checkbox in MDBilling

The process will be the same if you want to submit a manual review for an out-of-province claim.

For instruction on creating a note for manual review in our system, see Manual Review Instructions.

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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