Corrections
When OHIP rejects a claim, SnapBill helps you understand the error and fix it — either manually or with AI-assisted corrections.
Viewing Rejected Claims
Rejected claims are flagged in the Claims list with an error indicator. Click on a rejected claim to see:
- The OHIP error code and its description
- The specific fields that caused the rejection
- Suggestions for how to fix the issue
AI-Powered Corrections
SnapBill analyzes rejected claims and proposes fixes based on the error code, billing rules, and the Schedule of Benefits. When a fix is available, you’ll see:
- What changed — a clear diff showing the proposed modification
- Why — an explanation of the error and how the fix addresses it
- Confidence level — how certain the system is about the correction
Applying a Correction
- Navigate to Tools > Corrections in the sidebar
- Review the list of claims with pending fix proposals
- Click on a claim to see the proposed changes
- Approve to apply the fix, or Reject to dismiss it
- Approved claims move to Corrected status and can be resubmitted
All corrections require your explicit approval before being applied. SnapBill never modifies claims automatically.
Manual Corrections
You can also fix rejected claims manually:
- Open the rejected claim from the Claims list
- Click Edit to modify the claim fields
- Review the error code to understand what needs to change
- Update the relevant fields (e.g., correct billing code, add missing diagnostic code, fix health card number)
- Save the corrected claim
- Submit it in your next batch
Common Rejection Reasons
| Error Type | Common Cause | Typical Fix |
|---|---|---|
| Invalid health card | Card expired, wrong version code, or typo | Verify with Health Card Checker and update |
| Missing diagnostic code | Required for the billed service | Add the appropriate OHIP diagnostic code |
| Code restriction | Billing code not available for your specialty or the patient’s age | Review code requirements in the Schedule of Benefits |
| Duplicate claim | Same service already billed for this patient and date | Check if the original claim was paid; delete the duplicate |
| Facility required | Hospital-based code billed without a facility number | Add the correct facility master number |
RAI Deadlines
Corrected claims can be resubmitted as Remittance Advice Inquiries (RAIs) within 7 months of the original rejection. After this window, the claim cannot be resubmitted.
Learning Points
SnapBill tracks patterns in your rejected claims and surfaces Learning Points — insights about recurring errors and how to avoid them. This helps you reduce rejections over time.