Overview
Remittance Advices (RAs) are payment notifications from the Ministry of Health detailing which claims were paid, partially paid, or rejected.Accessing Remittance Advices
Navigate to Reports > Remittance Advices in the sidebar.Understanding Remittance Advices
Each remittance advice contains:- RA Number - Unique identifier
- Payment Date - When payment was issued
- Total Amount - Sum of all payments
- Claim Count - Number of claims processed
Viewing RA Details
Click on a remittance advice to see:Summary
- Total paid amount
- Number of claims paid in full
- Number of claims partially paid
- Number of claims rejected
Claim Breakdown
Each claim in the RA shows:Explanation Codes
When a claim is adjusted or rejected, an explanation code indicates why:Click on an explanation code to see the full description and recommended action.
Filtering and Search
- Filter by date range
- Search by patient name or health card
- Filter by payment status (paid, partial, rejected)
Reconciliation
The RA view helps with reconciliation:- Compare billed vs. paid amounts
- Identify rejected claims for resubmission
- Track partial payments
Actions
From an RA detail page, you can:- Export to Excel - Download for accounting
- Print - Generate a printable version
- Resubmit Rejected - Create corrected claims for rejected items