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Ministry of Health and Long-Term Care eSubmission of Medical Claims Supporting Documentation Step-By-Step Guide To: Submitting Additional Information Requests Claims Services Branch Direct Services Division Ministry of Health and Long-Term Care (MOHLTC) Version 1.0 August 8, 2017

Transcript of eSubmit - Submitting Additional Information Requests · Submitting Additional Information Requests....

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Ministry of Health and Long-Term Care

eSubmission of Medical Claims Supporting Documentation

Step-By-Step Guide To:

Submitting Additional Information Requests

Claims Services Branch Direct Services Division Ministry of Health and Long-Term Care (MOHLTC)

Version 1.0 August 8, 2017

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Submitting Additional Information Requests

Note: Submitting an Additional Information Request will only be used when you have received an Additional Information Request from the Ministry of Health and Long-Term Care regarding a previous ticket (refer to the “Viewing an Additional Information Request” Guide). Be sure to retain the Request ID number noted in the Additional Information Request as you will need to enter this number to access the submission screen.

Accessing eSubmit

1. Go to the Government of Ontario “GO Secure” Login screen at:

https://www.edt.health.gov.on.ca

2. Log into “GO Secure” by entering your GO Secure ID (email address) andPassword and select “Sign In”.

NOTE: Your GO Secure session will time-out if there is no activity after forty-five (45) minutes.

3. Select “Services” on the Health Care Provider’s Administration and MOHLTCService Menu.

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4. Select using down arrow to see services:

5. Select “eSubmit”

6. Select “Access Service” – the eSubmit Main page appears.

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7. The eSubmit Main page will open.

NOTE: If a health care provider is a designee for another health care provider, the Working on Behalf of” field will be available.

“Working on Behalf of” list will default to “Myself”, any health care provider that you are a designee of could also be selected.

All Designees will have the “Working on Behalf of” field on their Administration and MOHLTC Services.

8. Using the down arrow for the “Working on Behalf of” field, view the list of names of Providers. If the Provider for which you have permissions granted is not listed, use the Search option and enter the Billing number or provider name in the “Search” field.

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NOTE: If you are a Designee, the Administration and MOHLTC Service page will display a “Working on Behalf of” field to allow you to select a provider. The default for this field is “Myself” but this field can be changed by using the down arrow or Search field to locate a list of provider(s) for which you have been granted permissions to download files for. To do a search, enter either the Billing number or Name of the provider.

9. Once found, select the Provider.

10. Using the drop down for the Services field, two options are available: eSubmitor MC EDT (Upload/Download). Select “eSubmit”.

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11. Select the “Access Service” button. The eSubmit Main page will open.

12. To open and close a menu of the types of electronic submission availableselect the arrow to the left of eSubmit English Forms.

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13. Select the type of electronic submission you want to send to the ministry:

• “Supporting Documentation”• “Remittance Advice Inquiry (RAI)”• “Additional Information Requests”

Additional Information Requests

Select “Additional Information Requests” from the eSubmit Main page.

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The Request for Additional Information Request, ID screen opens.

Enter your Request ID (six numerics, including any leading zeroes). Select “Submit”.

The “Additional Information Submission” form opens (see adjacent). The form has two main sections:

• “Contact Information”• “Attachments/Remarks”

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Near the bottom of the screen there are three buttons:

• “Cancel” (returns you to the previous screen)• “Clear Fields” (removes any information that has been entered, the form

template remains on the screen).

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• “Submit” (will submit the completed form; if the form is not completed orcompleted incorrectly an error message will appear).

Contact Information Section

The “Contact Information” section will be auto populated based on the Request ID entered. The Request ID pulls the information from the original ticket submission.

In the “I am a…*” field, either the “Ontario Health Service Provide/Designate” or the “Out of Country Registered Third Party Billing Agent” radio buttons will automatically be selected depending on the original ticket submission. This field cannot be changed.

The “Group #”, “Solo #” and “Specialty #” will also be auto populated to reflect the original ticket submission. These fields cannot be changed.

The “Email Address” field will also be auto populated, but is not locked and can be changed if needed.

Attachments/Remarks Section

The “Attachments/Remarks” section consists of two main parts. The “Attachment List” field and the “Provider/Group Remarks” field, both fields are optional. These fields are conditional (one or the other must be filled out).

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Attachments To include an attachment, select the “Add” button and the “Add Attachment” window opens.

Note: Up to four attachments can be included per submission. The file size for each attachment, cannot exceed 5MB.

Select “Browse” to add individual attachments.

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The “Choose File to Upload” window will open, find and select the file to be attached. Select “Open”.

When all files have been attached, select “OK”.

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The files are now attached to the “Additional Information Submission form”. Check the file name to ensure that the correct file(s) were attached and that each file does not exceed 5MB in size.

In the “Provider/Group Remarks” field, enter remarks or comments regarding the Additional Information Request, if applicable.

Once the “Additional Information Submission” form is completed correctly, select the “Submit” button to send the completed form and attachments or remarks to the MOHLTC.

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If “Submit” is selected and the “Additional Information Submission” form is not filled in completely or correctly, an Error Message will appear at the top or the screen.

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For more information:

1. Who do I contact if I have eSubmit questions?

Contact Service Support Contact Centre (SSCC) at: 1-800-262-6524. The deskis staffed from 8:00 a.m. to 5:00 p.m., Monday to Friday. After business hours ananswering service is available and your call will be returned the followingbusiness day.

2. Who do I contact if I have technical questions of issues?

Contact your software vendor for any technical questions or issues.

3. Where are the OHIP Processing offices located?

Select the following link for a list of OHIP Processing offices.

http://www.health.gov.on.ca/en/pro/programs/ohip/claimsoffice/default.aspx