Interpret and use the STATUS column on OHIP bill lines

Visual Practice HOW TO

...Interpret and use the STATUS column on OHIP bill lines

The 'Status' column is used to indicate the accounting disposition of a particular line. Throughout the billing cycle, you will have lines that have been submitted to OHIP, others that have a response from OHIP and others that have been accepted, rejected, or written off. In other cases a line can go beyond the stale-date period, but under certain circumstances be still under review by OHIP.

Keeping track of the status of a billing line is important in order to keep your accounting straight. The status field accomplishes this, as shown below:

Status	Meaning	Description
	Blank	Mark the line to be placed in the next submission file to be sent to OHIP for the Billing Provider.
A	Accepted	Line was Accepted and fully paid by OHIP. Lines marked as 'A' don't require any further attention for reconciliation purposes.
C	Changed	Line was either modified by OHIP or by the user after the line was submitted to OHIP. Either the OHIP code, date of service, number of units or amount don't match the original line.
R	Rejected	Line was rejected or commented on by OHIP. Not all R's are necessarily rejected, as OHIP can pay some lines marked 'R' and may also wish to comment on the billing line in question. If the comment requires no further action, the user can change the line to 'A' if fully paid, or pursue the response further.
S	Submitted	Line has been placed on a submission and the system is awaiting a response from OHIP. A line should be followed up and resubmitted if it is not replied to after 65 days. At 6 months it can be staledated, which means OHIP will no longer honor payment on the service.
U	Under Review	The line status 'U' is used by the user to mark lines placed on a Remittance Advice Inquiry form. The line can be fully, partially, or not paid, but until the user marks the line otherwise, it is assumed the user is waiting for a reply from OHIP on the Remittance Advice Inquiry form.
X	Written Off	Line was submitted to OHIP but OHIP refuses to pay it, so the billing provider wants to mark the billing line as performed but uncollectable.