Here we will review a Batch Acknowledgement report from the MOH to confirm the MOH has received your uploaded claim file.
You can check out this link regarding matching the Batch Edit to the claim file: Reviewing Batch Acknowledgement
A Batch Acknowledgement, also know as a Batch Edit, is the confirmation provided from the MOH that they have received your claim file, and weather or not they could process the claim file on their software.
A Batch Edit would typically be received within 24 hours of your submission. This excludes weekends, and holidays, as well as the start/end of the month while the MOH prepares the RA report for distribution.
A Batch Edit should be received for every single claim file submitted to the MOH. For example, if you generated 4 claim files on the same day and uploaded all 4 -- you would receive 1 Batch Edit for each one of the claim files submitted. So 4 in total!
After a file has been uploaded using the MCEDT Mailbox, you may review the Sent Folder that the file was uploaded. Once the claim file is received by the MOH, the status of the claim file will update from Uploaded to WIP (work in progress). You can check out this article to learn how: Sent Folder MCEDT Mailbox
The only actual confirmation that the MOH has received and was able to process the claim file, is the Batch Edit.
In order to obtain your Batch Edits, you would need to navigate to Administration > Billing > MCEDT Mailbox > Download New Files in green:
Once downloaded, the reports would be available under View MOH Files to action.
A Batch Edit will begin with the letter B, and the second letter corresponds to the month of the year.
Let's review what one looks like:
There are no actions that need to be completed from a Batch Edit, but they're very important to review and ensure that you have received one for every claim file submitted. Let's take a deeper look at the key components of the Batch Edit.
The doctor's billing number will be listed:
If you're billing under a group number, that will also be listed:
The Creation Date is the date the claim file was created:
The Claims number will be the total number of invoices the MOH received:
The Rejection Reason will be shown:
A Rejection Reason of ***Batch Totals*** means that the MOH received the claim file, and that they were able to process it.
Now we need to match this Batch Edit to a generated claim file, so we will need to minimize the Batch Edit and navigate to Generate OHIP File:
From here we are going to match the Creation Date, the Provider, and the Claims amount:
Now that we have matched it, we know that the MOH has received our claim file and were able to process it. We can now Archive the Batch Edit under View MOH Files:
Now let's take a look at a different Batch Edit, with a different Rejection Reason:
This Rejection Reason implies that the MOH was unable to process the claim file that they received. In this case, you will still need to match the Batch Edit to the generated claim file to obtain the H file name.
Once you have located this information, you may contact support (help@oscarprodesk.ca) to request the claim file to be reversed back to O Bill OHIP status.
Hello Support,
Please reverse claim file HE456789.001 back to O Bill OHIP status for resubmission.
Support would reach out once the file has been reversed. By placing the invoices back in the O Bill OHIP status, you would then be able to Simulate OHIP File to address any items that are flagged as an "error" at the bottom of the list. It is important to Simulate OHIP File each time to ensure that the generate claim file does not include any bad invoices that will cause on error when being processed. Here is a link to a video: Simulate and Generate OHIP Claim File
Here is a Batch Edit with a similar Rejection Reason, but it is for a group file:
In this case the providers in the group that received the Rejection Reason submitted no invoices, so it was blank for their contribution to the group file. However, the provider that had invoices submitted received ***Batch Totals*** indicating that the MOH processed the claim file.
It is important to review the Batch Edits in a timely manner so that if there is an issue, you're able to resubmit within the same billing cycle.