You can manage and reconcile your claims that have been processed by Health PEI from the Billing dashboard.
Here, you can filter your clinic's list of bills to display:
Attention Required bills (bills that are rejected, partially paid or are flagged by the CHR with errors)
Submitted bills that were sent a while back and not yet received a response from Health PEI
Completed bills (bills that are paid in full)
From this list, you can edit and resubmit a bill or update a bill's status.
📌 Note: You can export billing reports or billing data from the Billing dashboard for reporting purposes or to transfer the data into another application. See Exporting billing reports from the Billing dashboard
1. From the main toolbar, click Billing. The Billing dashboard opens with a list of bills created today.
2. Filter the list to display the bills you want to view or manage: At the top of the window, click the white panel.
3. Using the following table, set the filters and click Apply.
To view or manage...
Apply the following filters
Refused (rejected) claims, partially paid and claims flagged with errors by the CHR
📌 Note: If you want to dispute a claim, see Submitting appeals to Medicare (PEI) for more information.
(claims that have not yet received a response from Health PEI)
⚠️ Important: Make sure no bills have a status of Submitted for longer than 90 days.
⚠️ Important: Make sure no bills have a status of Held for longer than 90 days.
All paid claims
💡 Tip: To see transaction details of claims submitted to Health PEI and claims returned from Health PEI, click a bill and at the top-right corner of every billing item, click the information icon. This is particularly useful when you want to see when you were paid. For example, to see the history of changes made to a bill, for example to see that the bill was sent, it came back refused, changes were made to the bill and resubmitted, and then you got paid. See Viewing transaction details in submitted claims.
Updated January 18, 2022