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Managing refused or invalid bills (Manitoba)
Updated over a year ago

When you submit claims to Manitoba Health, some incorrect bills may auto-refuse . When a claim is rejected, the CHR flags the associated bill as Attention Required. The CHR can also identify an issue with a bill prior to submission and automatically flag it as Attention Required.

You manage attention required bills from the Billing dashboard. Here, you can filter the list of bills to display all the bills that require your attention.

When you open an Attention Required bill, any incorrect billing items (service codes) are flagged as either:

  • Refused or Cancelled (refused by Manitoba Health)

  • Invalid (flagged as invalid by the CHR - typically due to an invalid provincial health number or a missing diagnosis code)

The reasons for an invalid or refused billing item display below it as Error Messages or Messages.

Steps

1. From the main menu, click Billing. The Billing dashboard opens with a list of bills created today.

2. To see all claims with the Attention Required status, filter the Billing dashboard by:

  • Status: Attention Required

  • Insurer: Manitoba Health

  • Service Date: Set the service date range for which you want to view bills.
    💡 Tip: To filter bills by paid date, in the Search By list, select Paid Date.

  • Billing Practitioner: Select the providers for which you want to view bills.

  • Location: If your clinic has multiple locations, select the locations for which you want to view bills.

3. Click Apply. A list of bills displays.

4. To open a bill, click its description.

💡 Tip: Clicking a patient's name opens their chart instead of the bill.

5. Under each billing item flagged as Refused or Invalid, review the messages describing the reason for the refusal or error.

6. Using the following table, manage the bill:

To do this...

Do this...

Edit and resubmit the bill

If the status is Refused:

1. Edit the billing items or other bill details requiring modifications.

2. At the top of the bill, in the Status list, select Ready To Submit.

If the status is Invalid:

1. Edit the billing items or other bill details requiring modifications.

📌 Note: if the error message reads Please select a billing provider and try again, this might indicate that you are not yet integrated with Manitoba Health. Contact the TELUS Health support team via the in-app support bubble.

2. At the top of the bill, in the Status list, select Ready To Submit.

Update the patient's provincial health number (or other demographic details) and resubmit the bill

1. From the bill, open the patient's chart: Beside the patient's name, click the patient icon.

2. At the top of the patient dashboard, click Update Information, update the patient's information, and then click Save.

3. Return to the bill and click the patient's name.

4. At the top of the Patient Information pop-up, click the Update icon.

5. At the top of the bill, in the Status list, select Ready To Submit.

Mark a refused claim as Cancelled or Completed.

If Manitoba Health refuses the claim even after you resubmitted it, you can manually change its status to Cancelled or Completed, depending on your clinic’s workflow.

💡 Tip: You can quickly change the status of several bills at once from the Billing dashboard. For more information, see Bulk changing the status of insured claims.

7. Click Save. The bill is updated and resubmitted to Manitoba Health.

Updated March 17, 2023

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