> ## Documentation Index
> Fetch the complete documentation index at: https://docs.intelagent.ca/llms.txt
> Use this file to discover all available pages before exploring further.

# Submitting Claims

> Create and submit OHIP claims from your mobile device

## Overview

The Claims tab is your primary tool for creating and submitting claims on mobile. The streamlined interface is optimized for quick entry.

## Accessing the Claims Form

Tap the **Claims** tab (first icon) in the bottom navigation.

## Creating a Claim

### Step 1: Patient Information

<Steps>
  <Step title="Enter Health Card">
    Type the 10-digit OHIP health card number

    Or tap the camera icon to scan the card
  </Step>

  <Step title="Enter Version Code">
    Add the 2-character version code
  </Step>

  <Step title="Verify Patient">
    The app validates the health card automatically. Patient details auto-fill if they exist in your records.
  </Step>
</Steps>

### Step 2: Service Details

| Field        | Description                                     |
| ------------ | ----------------------------------------------- |
| Service Date | Tap to select from calendar (defaults to today) |
| Facility     | Select from your associated facilities          |
| Physician    | Auto-filled or select from list                 |

### Step 3: Billing Information

1. **Billing Code** - Search or select from recent codes
2. **Quantity** - Adjust if more than one unit
3. **Fee** - Auto-calculated based on OHIP schedule

Tap **Add Code** to include additional billing codes.

### Step 4: Diagnostic Code

Select the appropriate diagnostic (ICD) code that justifies the billed services.

### Step 5: Comments (Optional)

Add notes or tags for your reference. These don't appear on the submitted claim.

## Health Card Validation (HCV)

The app validates health cards against OHIP's HCV service:

| Status    | Meaning                         |
| --------- | ------------------------------- |
| Valid     | Card is active and eligible     |
| Invalid   | Card number format is incorrect |
| Expired   | Card needs renewal              |
| Not Found | Card not in OHIP database       |

<Warning>
  Claims with invalid health cards will be rejected. Always verify before submitting.
</Warning>

## Fee Calculation

Fees are calculated automatically:

* Base fee from current OHIP schedule
* Quantity multipliers
* Complex code calculations (percentages, premiums)

The total appears at the bottom of the form.

## Submitting the Claim

1. Review all information
2. Tap **Submit**
3. Confirm the submission
4. View success screen with claim details

## Saving as Draft

Not ready to submit?

* Tap **Save Draft**
* Access later from Records tab
* Filter by "Draft" status

## Favourite Sections & Combos

Organize your most-used billing codes into sections for faster claim entry on mobile.

### Setting Up Favourite Sections

1. On the Claims screen, tap **+ Add Favourite** next to Billing Codes
2. Create sections (e.g. "Office Visits", "Consults") to group related codes
3. Long-press and drag codes to reorder them within a section
4. Tap a code pill to move it between sections or remove it
5. Swipe left and right to navigate between sections

### Creating Combo Favourites

Combos let you add multiple billing codes with a single tap — useful for services you always bill together.

1. In the Favourite Sections editor, tap the **Combo** button in a section
2. Tap "Tap to select codes..." and choose two or more billing codes
3. Optionally enter a custom label (e.g. "Office Visit + ECG")
4. Tap **Save Combo**

Combo favourites appear as blue pills in the favourites carousel. Tapping a combo adds all its codes to the claim at once.

<Tip>
  Combos are especially helpful for common service bundles you bill repeatedly, like a consultation with associated procedures.
</Tip>

## Duplicating Claims

For similar services:

1. Tap the copy icon in the header
2. Previous claim details are copied
3. Modify as needed (patient, date, etc.)
4. Submit the new claim

## Common Issues

### "Invalid billing code"

* Verify the code exists in current OHIP schedule
* Check for typos
* Some codes require specific conditions

### "Patient not eligible"

* Verify health card number and version code
* Check service date eligibility
* Patient may need to update their card