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OHIP Billing Tip #27 - Resubmitting a Rejected Claim

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How to resubmit a rejected OHIP claim

To resubmit a rejected claim on web portal:

1. Select Rejected Claims on the left menu or search for Rejected claims by going to Lookup Claims.

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2. Click on the Accounting ID to open the claim and find the reasons for the rejection.

The rejection code/error message will be highlighted in red within the claim and will indicate the reason for the rejection.

OHIP rejection code

3. Review the services billed and use use Action button (on the right side of the service code) to edit the claim information

 

4. Click Update, then Save & Submit.

Here is the video instructions: How to Resubmit Claims

 

To resubmit a rejected claim on mobile app:

1. Tap on the Rejected bubble

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2. Select the claim that needs to be edited

3. Tap on Service Entered

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4. Swipe left and delete the service that needs to be corrected.

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5. Go back and re-enter the service with the correct information.

6. Tap on Save Claim or Save and Submit Claim

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Note: If the rejection is related to the patient information, facility, referring physician, etc., Users can correct it on the main claim page without going through the step 3 to 5.

 

Instructions on correcting EH2 (invalid Version Code) error:

How to quickly fix OHIP error code EH2 (web)

Correcting EH2 error on a mobile billing app

 

For more information about the rejection codes, please check out OHIP Rejection Library.

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

Thank you,
MDBilling.ca Ltd.

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