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Managing refused claims (New Brunswick)
Updated over a week ago

⚠️ Important: This is currently a beta feature. It will be available once the beta period is complete.

Once you have submitted your claims to New Brunswick Medicare, your billing items are validated before they process the claims and make payment.

If any of your bills are rejected, New Brunswick Medicare sends them back with a status of Attention Required: Refused so you can correct errors and resubmit the bills for payment.

Every morning you can see claim updates in the CHR from New Brunswick Medicare. The best way to keep track of your submitted claims is through the Billing dashboard to ensure that you address any claims that require your attention.

The most common claims you must keep track of and action are those with the claim status: Attention required.

You should also keep track of claims with status Submitted. If a claim has a Submitted status for an extended period of time, contact New Brunswick Medicare.

Steps

  1. From the main menu, click Billing.

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

  • Status: Attention Required

  • Insurer: New Brunswick Medicare

  • Applicable Service Date

  • Billing Practitioner(s)

  • Location(s)

A billing report appears.

3. Click the bill.

📌 Note: When you select the patient name, the chart opens.

The Edit Insured Payment window appears.

4. Read the Messages, e.g. unable to locate the fee code, and fix the error by clicking on the specific area of the bill and modifying it.

​📌 Note: If the error message reads Please select a billing provider and try again, this might indicate that you are not yet integrated with New Brunswick Medicare Claims Entry Web Services (MCE-WS). Your clinic lead must send an email to the CARE team at care.emraccounts@telus.com. Refer to New Brunswick Medicare Claims Entry (MCE) billing integration for more information.

5. Once fixed, at the top of the bill next to Status select Ready to Submit.

6. Click Save.


The bill is re-submitted to New Brunswick Medicare.

Updated October 7, 2024

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