Everything You Need To Know About Error Report Rejections
- 2 min read
What is an Error Report Rejection?
A claim that has rejected on the Error Report is a claim that did not pass validation or requires additional information. Some of the reasons for these claims to reject could be:
- Missing information such as admit date or diagnosis
- Staled dated claims (3 months from date of service)
- Eligibility issues such as invalid version codes
- Request by the Ministry for documentation such as an operative report for further review
What happens when a claim rejects on the Error Report?
Error report rejections can be monitored through the billing platform and all steps that have been taken on each rejection can be viewed. Transparency is key and you will have the ability to know what happened to each claim and the steps that were taken to reconcile.
No need to worry about handling these on your own, as rejections are investigated by the RMA team. You may be contacted if any additional information or clarification on billing is required. Once the information is gathered, our team will resubmit these claims on your behalf.
Overall Review
Error report rejections can be a cumbersome process. As seen in the link above, the explanatory list is quite extensive (over 100 error codes) and can be overwhelming to understand the meaning behind each one. One of the services that RMA offers, is the ability for our physicians to know that these rejections are being taken care by our experienced staff and don’t require intervention by the physicians themselves.
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