Visual Practice HOW TO

...Correct an error and resubmit billing lines to OHIP

Types of Errors

There are two main categories of error that can occur with OHIP billing.  The first type of error is an error with patient information.  The second kind of error is an error with the billing information itself.

Correcting Patient Information Errors

Errors in patient information can cause all lines in a bill to be rejected, as well as any bills made for that patient.  This is because OHIP relies on accurate identification of the patient to ensure they are insured under OHIP.  Typical errors with patient information include, but are not exclusive to, health card numbers and version codes.

Visual Practice provides fast and easy error correction.  For patient information errors, you must go to the OHIP Bill Form and search for the bill that was rejected.  In order to resubmit claims that have been returned by OHIP, whether by version code errors or birthdate errors, it is first necessary to correct the error in the patient information and then resubmit the rejected claims.

Open the OHIP Bill Form by pressing the Form button on the toolbar and select OHIP Bills from the menu, as shown below:

Once the OHIP Bill form is on the screen, use the Search button on the toolbar to locate the rejected bill using the bill number, as shown below:

Once you have select the bill with the patient error, click on the Update button on the toolbar, and the bill is ready for correction, as shown below:

In this case, the patient's billings have been rejected with an EH2 error code.  This error code indicates an incorrect version code.  Obtain the correct version code and click on the Properties button which sits beside the Patient Lookup button on the OHIP Bill form, as shown below:

In the Version field, you enter the correct version code.  If you wish to simply update the patient's Patient Registry entry, click on the Apply button.  If you wish to correct the version code and resubmit all the patient's bills which are status 'R' (rejected) or 'S' (submitted), click on the Apply & Resubmit All Lines button.  This will apply the version code change to the patient's Patient Registry entry, and resubmit bills that have been rejected or have been submitted and not responded to by OHIP yet.  The Bill #'s listed in the grid will have the Status column set to blank on the claim lines.  This will ensure these claims will be transmitted to OHIP on your next MRI disk or EDT submission.

You can apply the technique demonstrated here to any patient information-related errors.  This is a fast and easy way to correct and resubmit bills.

Correcting Claim Errors

Errors in claim can cause one or more claim lines in a bill to be rejected.  Having completed the search, the proper claim should appear in the window, and the user should then press the Update button on the toolbar.

Turning your attention to the Status field on the right side of the Item window, the Status field should be filled with an "S" (i.e. submitted). If the status field is not filled with an "S" or an "R", you have not selected the correct claim!

To resubmit the claim, after you have made the proper corrections to the bill click in the 'Status' field , click on the arrow and select the blank option at the top of the list.

The field will then be highlighted yet blank, and you may save the claim by clicking on the Save button on the toolbar.

The claim is now resubmitted. When you create your next MRI disk or EDT submission the claim will be forwarded to OHIP for payment.