Skip to main content
All CollectionsMDBilling SupportOHIPOHIP Billing - "How to"
MDBilling - Adjusted Payment Explanation
MDBilling - Adjusted Payment Explanation
Sophia Jarvi avatar
Written by Sophia Jarvi
Updated over 10 months ago

What does "Adjusted Payment" mean?

Question

What does "Adjusted Payment" in the lookup claim table mean?

Answer

A claim with 'Adjusted Payment' status means that it was processed by the MoH but paid above or below the submitted value. If you click on the claim/accounting ID, you are able to open the claim and confirm the amount paid.

You can review a detailed summary of a monthly payment by reviewing the claim summary payment report.

Go to Reports & Forms->Advanced Reports-> Claim Summary Payment->Select Month yr->submit

mceclip0.png

If you don't believe you were paid accordingly, you can contact MOH at their toll free number 1-800-262-6524) for more clarification or submit RA inquiry.

Please follow this link with information on Reconciliation about how to review this report.

Also I have included a link to our reconciliation guide for your reference, more details on paid claims.
​Reconciliation Manual

Did this answer your question?