The Ministry of Health (MOH) creates the remittance advice (RA) report in response to submitted claims. RA reports indicate which bills were paid, which were denied, how much was paid towards each, and explanatory codes or error codes.
The RA report also indicates payment expected, via automatic deposit, on the 10th business day of the same month.
You can view and download RA reports from your MDBilling portal every month (usually within the first week of each month, but may be later depending on the volume at the MOH).
You can view and generate four basic reports in MDBilling for the current month:
An Unprocessed claims summary report - claims that were submitted to the MOH but not yet processed, usually because they were submitted after the 18th of the month
Claim Summary payment report - most commonly used report showing details of each patient, service, date and payment made by the MOH
Rejection Report - shows all claims that have been rejected, including the reason for rejection
MOH Remittance Advice
Steps
1. From your MDBilling.ca portal, click Reports & Forms > Basic Reports.
📌 Note: To access the same reports but with more filters, i.e Date, Payment Program, MOH Group, click Advanced Reports, click in the Report field, select a report from the list and apply specific filters.
2. Click a report from the list to open it.
3. For some reports, you can click the links to view more information.
4. To download a report, click the export icon at the top of the report and select the format (PDF, CSV, Excel Worksheet, or Word Document).
📌 Note: You must have a spreadsheet application installed on your computer to open a CSV file (e.g. Microsoft Excel, Google Sheets, Apple Numbers).
5. To dispute a claim adjustment or non-payment, you can call a claim assessor from your district office, or submit a remittance advice inquiry to obtain information as to why a claim was not paid. Refer to Submitting a remittance advice inquiry.
Updated April 16, 2024