Claim Statuses
Every claim in SnapBill has a status that reflects where it is in the billing lifecycle. Here’s what each status means and what actions are available.
Status Lifecycle
Pending Submission → Queued → Submitted → Pending Payment → Paid
↓
Rejected → Corrected → ResubmittedStatus Definitions
Pending Submission
The claim has been created and saved but not yet submitted to OHIP. You can still edit or delete claims in this status.
Available actions: Edit, Delete, Submit
Queued
The claim has been selected for submission and is waiting to be included in the next batch upload. Claims are queued when you click “Submit to OHIP” but the upload hasn’t completed yet.
Available actions: Remove from queue
Submitted
The claim file has been uploaded to MCEDT (Medical Claims Electronic Data Transfer). OHIP is now processing it. This typically takes 2-3 weeks.
Available actions: View submission details
Pending Payment
OHIP has acknowledged the claim and it is awaiting payment. This status appears after the claim passes initial processing.
Available actions: View details
Paid
OHIP has processed the claim and payment has been issued. The paid amount appears on your remittance advice.
Available actions: View payment details, View remittance
Rejected
OHIP has rejected the claim. A rejection code and description explain why. Common reasons include invalid health card, missing information, or billing code restrictions.
Available actions: View error details, Edit and resubmit, Apply AI correction
Corrected
A rejected claim that has been fixed (either manually or via AI-suggested correction) and is ready to be resubmitted.
Available actions: Review changes, Submit
Filtering by Status
On the Claims page, use the status filter to view only claims in a specific status. This is useful for:
- Finding all Pending claims ready to submit
- Reviewing all Rejected claims that need attention
- Checking Paid claims for a specific period
Rejection Codes
When a claim is rejected, OHIP returns an error code. You can look up what each code means in the Corrections section or ask the AI Chatbot to explain it.