If you determine that a Ministry of Health (MOH) payment adjustment has been applied incorrectly or to make changes to a claim due to incorrect information, you can either speak to a claim assessor from your district office, or submit a RA inquiry to obtain clarification from the MOH.
A RA inquiry is a written request to get more information on why a claim was not paid.
Steps
From your MDBilling.ca portal main page, find the accounting ID of the claim that was not paid by clicking Claims > Lookup Claims.
Submit the RA inquiry via MDBilling (see Submitting an RA Inquiry), or through eSubmit (see eSubmission of Medical Claims Supporting Documentation).
Updated November 19, 2021