PATIENT MANAGEMENT PROGRAM
Handling On Screen Rejections during Reconciliation
If MH has rejected any claims a screen will appear entitled 'Handle Rejections'. Decisions will be required
regarding each rejection. The rejection code you choose will determine the action that is taken.
Three options are available to deal with the rejections:
1. Transfer to Patient
2. Transfer to Patient & Write Off
3. Rebill the Claim
You may either press the numbers 1, 2, 3 on your keyboard or click the box below the title selections on
the top right of the screen.
For example: if the code is 01 - MH Number not valid, you will choose. # 3. Rebill if you are able to correct
the claim. Note: Rebilled claims will not be resubmitted to Manitoba Health automatically. Follow the
procedure below to resubmit the claim.
When in doubt choose Rebill. You can always re-submit or pay the claim once you understand the
reason for the rejection. A complete list of Manitoba Health Disposal Codes is available in the
Appendix at the back of this workbook.
A check mark will appear in the box where you have clicked or pressed. When all rejections have been
handled, click Finish.
Click View MH Payment Rejection Journal to print the report. This report will be stored in Documents for
Printing under the Report menu and can be viewed or printed at a later time. The Payment Rejection
Journal is named ‘MH_ PRJ’ followed by the creation date.
Click Continue.
Rebilling Rejected Claims
After selecting the Rebill button claims will not be automatically submitted to MH. Invalid or missing
information exists within the claim and must be resolved before the claim is submitted again.
After the incorrect/missing information has been fixed in the patient file go to the Account Activity tab and
select the rejected claim. Click the Pending <-> Billed button. This will mark the claim back to pending
which will allow it to be picked up during the submission to MH. Continue for all rejected claims.
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Manitoba Health Services Commission