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.
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:| Field | Description |
|---|---|
| Patient | Patient name and health card |
| Service Date | Date of service |
| Billing Code | Service code billed |
| Billed Amount | What you claimed |
| Paid Amount | What was paid |
| Explanation Code | Reason for adjustment (if any) |
Explanation Codes
When a claim is adjusted or rejected, an explanation code indicates why:| Code | Meaning |
|---|---|
| V1 | Health card not valid on service date |
| R1 | Patient not eligible |
| P1 | Service already paid |
| … | See full list in OHIP documentation |
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