How do I manage OHIP rejected claims?
If you receive a rejected claim after a successful submission, you will receive a claim rejection notification from MDBilling (via email). If you look up your claim rejections within MD Billing’s platform, you can see the Error Code affiliated with the rejected claim. A list of rejection codes can be found here. MDBilling has additional information on fixing the error code here as you can click on each error code’s sublink for an explanation and troubleshooting solution. You are able to re-submit any rejected claim after correcting the error ,and all re-submissions must be done DIRECTLY on the MDBILLING.CA website, and not the Rocket Doctor MD Portal.
If the error is related to a Health card version code (EH2 only), you can reach out to the PCC team so they can get the correct number on your behalf.
For any additional questions about rejections, please contact Inquiry Services, Service Support Contact Centre (SSCC) by email at SSContactCentre.MOH@ontario.ca or by calling 1 800 262-6524.
For more information on how to re-submit a rejected billing, please watch the video below: