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Submitting HCFA 1500 claims electronically

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Billing WSIB electronically (Canada only)

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Billing WSIB electronically (Canada only) Billing WSIB electronically (Canada only)

1. After allocating a sale to WSIB, click the Tools drop-down menu, and select Electronic billing. 

2. On the Unbilled invoices tab, click on the desired invoice, and click

   Status
   title Submit claims

   .

   Tip
   To submit multiple claims, press and hold the Control key (Ctrl) on the keyboard while clicking the desired invoices.

   Note

   Claims on the Unbilledinvoices tab with a triangle alert symbol contain one or more items that do not have correct WSIB coverage. Click on the submitted claim and click Status title Transaction details , or double-click the claim, to review the details. In the Review order screen, items without coverage are denoted with a triangle alert symbol. Edit the invoice, optionally adding coverage to the item(s), and then submit the claim.

3. Click the Submitted claims tab to view submissions. The icon next to each claim represents the status. A quarter-green circle represents a claim which has just been submitted, and the various filled circles represent the different stages of the claim process. A green check mark indicates the submission is approved fully. An orange check mark indicates the submission was partially paid.
   

   Note
   Claims on the Submitted claims tab with a triangle alert symbol have been rejected. Verify the patient birth date and policy number accuracy. An Insurer Claim # is present for approved (and some denied claims). Contact WSIB, and provide the Insurer claim #, for additional information about the claim denial.

4. On the Submitted claims tab, optionally do any of the following:

   • Use the location drop-down menu to view one, or <All>, location(s).

   • Optionally, click on a submitted claim and click

     Status
     title Claim details

     to view claim items.

   • Optionally, click on a submitted claim and click

     Status
     title Clear claims

     to remove it from the screen.

     Note
     Ensure WSIB payments have been entered, prior to clearing the claim. Clearing a claim will remove the invoice from the Enter 3rd party payment screen.

     Tip
     To clear multiple claims, press and hold the Control key (Ctrl) on the keyboard while clicking the desired invoices.