Here we will review how to pull in your rejections as well as how to identify the reason for rejections in order to resubmit them for payment.
Downloading Rejections
The first step is to download rejections. This task can be completed daily as there are some instances that you will receive pre-edit rejections from MSP. This means the invoice did not pass their systems initial checks and was stopped before being sent through for processing. This is identified with a YY explanatory code.
Administration > Billing > Manage Teleplan > Get Remittance
Once you select Get Remittance, please wait for the system to load. The screen will automatically open to Edit Invoices, Rejection list is there is anything new.
If there is nothing new released, you will be taken to the MSP Reconciliation Page.
MSP releases the full remittance report 2 days prior to each payday. The Get Remittance process on these days will also settle any paid claims.
To review these dates please navigate here: Designated Holidays and Close off Dates
You can access the list of invoices of any status via Administration > Billing > Edit Invoices. The initial view is Rejected status.
You are also able to change to select by specific Provider, date span or even Insurer type as well as change the status. Once you have made any changes to the report request, select Create Report.
Note: If you are not seeing the Doctor's name in the drop down please see Adding Providers to Reports
Reviewing Rejections
The rejection will have explanatory code(s) under the MSGS column. Each column is a hyperlink, giving you the ability to order by that heading.
It is equally important to review the PwE (Paid with Explanation) status, though often these claims were paid and can be settled, there are instances that there are fixable invoices present.
By clicking on the Edit hyperlink, you will be opening the Billing Correction screen.
The top of the screen will provide you the reason (Explanatory Code):
From here, you can action correcting the invoice based on the information provided.
Please navigate to Edit an MSP Invoice - BC to review editing of invoices.
Please contact MSP for additional information related to the rejection meaning: 1-866-456-6950.
If you have any follow up questions related to the above, please reach out to us at support.