In this article, I will walk you through the steps to request and process invoices that are over 90 days.
Any invoices that are over 90 days require approval from MSP first.
You will need to submit a form: Practitioner Request for Approval of Over-Age Claims by fax to (250) 405-3593. Service dates should be no later than 6 months, only in exceptional circumstances will claims be approved up to 18 months.
You must also have received confirmation back from MSP that they are approving the request.
MSP will send a written response by fax to let you know whether your claims are approved or denied. If your request is denied, the letter will explain the next steps, including how to begin the appeal process.
Once received, you typically have 60 days in order to resubmit these claims.
How to Reprocess and Resubmit the claims
Locate the invoice(s) you wish to resubmit.
This can be accomplished by going to the patient Master Record > Invoice List or Administration > Billing > Edit Invoices and selecting a certain date and Doctor.
Select Edit on the invoice you wish to resubmit.
You will need to set the Submission code to A - Pre-Approved Claim
They may additionally suggest to add a note - this is selected through Correspondence Code > Elec Note > Note.
If you have any follow up questions related to this process on OSCAR, please reach out to support, https://oscarpro.ca/gethelp/
If you have any additional questions related to the overage forms or MSP policies, please reach out to MSP,
1-866-456-6950