{"id":1455,"date":"2026-03-16T15:12:11","date_gmt":"2026-03-16T15:12:11","guid":{"rendered":"https:\/\/www.petal-health.com\/?p=1455"},"modified":"2026-03-16T18:49:13","modified_gmt":"2026-03-16T18:49:13","slug":"3-steps-to-managing-rejected-claims","status":"publish","type":"post","link":"http:\/\/www.petal-health.com\/fr\/blog\/physicians\/3-steps-to-managing-rejected-claims\/","title":{"rendered":"3 Steps to managing rejected billing claims (without adding more administrative burden)"},"content":{"rendered":"\t\t
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Key takeaways<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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  1. Revenue leakage is real<\/span><\/b>: Clinics and departments across OHIP, AHCIP, MSP, and RAMQ may be losing 5\u20138%+ of earned revenue due to preventable claim rejections before adjudication.<\/span><\/li>\n
  2. Speed protects cash flow:<\/span><\/b>\u00a0Reviewing and resubmitting rejected claims within 3\u20135 days significantly improves recovery rates and reduces the risk of missed provincial filing deadlines.<\/span><\/li>\n
  3. Systems drive first-pass success:<\/span><\/b>\u00a0Standardized intake, real-time code validation, and automated billing workflows can help practices reach 95%+ first-pass acceptance rates while reducing administrative burden.<\/span><\/li>\n<\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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    Your clinic, department, or medical group\u00a0<\/span>could be losing 5\u20138%<\/span><\/a>\u00a0(or more) of earned revenue due to rejected billing claims,\u00a0often before those claims are ever\u00a0adjudicated.<\/span>\u00a0<\/span><\/p>\n

    In provinces like\u00a0<\/span>Ontario (OHIP), Alberta (AHCIP), British Columbia (MSP), and Quebec (RAMQ)<\/span><\/b>, small billing errors prevent a claim from being processed at all.\u00a0An incorrect health card number, an invalid fee code, a mismatch between service location and billing designation, or a missing diagnostic code\u00a0have the ability to\u00a0trigger an automatic rejection.<\/span>\u00a0<\/span><\/p>\n

    For physicians,\u00a0especially locums, department leads, or administrators tasked with overseeing billing,\u00a0rejected claims create a ripple effect:<\/span>\u00a0<\/span><\/p>\n