Manitoba Health Submission Process

Mary Jane -

You are able to access a "Rejected Claim Code List" by going to:

 http://www.gov.mb.ca/health/claims/docs/eob.pdf

 

Manitoba Health Submission Creation

  1. Log into Juvonno and select the Accounting tab.
  2. Select the Generate Submission link.
  3. Click Create Submission.
  4. Press Print.
  5. The submission file has been created and is stored under the Documents tab.
  6. Click the Documents tab.  The file you just created will be at the top of the documents section.
  7. Click the blue icon to the left of the item and select Download.
  8. Select Save File and press OK.

 

Submission Upload - Manitoba Health Weblink Submission

  1. Go to the Manitoba Health portal and log in.
  2. Press space bar and Enter.
  3. Enter user ID then press tab.
  4. Enter the password press Enter.
  5. Press enter again.
  6. Read messages on Red screen then press Enter.
  7. Read information on Last remittance and future remittance dates press Enter.
  8. At the command screen press U for Upload then press tab three times to get down to Name.
  9. Enter the file information to upload.  See example below.
    File looks like c:/directryname/C3422.R11
    Drive = C:
    Path = /directory name/
    Filename = C3422
    Extension  = R11

 

 Manitoba Health weblink

Go to the Manitoba Health portal and log in.

  1. Press space bar and Enter.
  2. Enter user ID then press tab.
  3. Enter the password press Enter.
  4. Press enter again.
  5. Read messages on Red screen then press Enter.
  6. Read information on Last remittance and future remittance dates press Enter.
  7. At the command screen press, P1 to print the payment report.

 

Remittance Process

  1. Login into the SIS system (Manitoba Health portal).
  2. Type the letter D and press Tab.
  3. Make sure the Drive says C.
  4. Make sure the file name path says “Manitoba Health”.
  5. Press the Tab button to get to the file name and type in REM and the month and day (ex. REM1130).
  6. Press Tab to get to the Extension field and type in R and the year (ex. R10).
  7. Press Enter.
  8. The file has now been downloaded to your computer.

 

 Juvonno Office Process

  1. Log into Juvonno Office and click on the Accounting tab.
  2. Press the Parse Remittance button
    1. NOTE: PLEASE PAY CAREFUL ATTENTION TO AND FOLLOW WARNINGS.
  3. In the window that opens press the Browse button.
  4. On the left side of the window that opens up, click on Desktop.
  5. On the right side of the screen scroll down until you find the Manitoba Health folder and click on the icon.
  6. Select the remittance file you just downloaded by clicking on it.
  7. Press the Open button.
  8. Press the Send File button.
  9. The Remittance is now being applied against your outstanding claims Printing Reports.

 

Printing Reports

  1. From the Accounting tab click the Reports button.
  2. Then select Remittances.
  3. In the pop-up window ensure the Practitioner is selected and press the Create Button.

 

 Reject Claims & Codes

Rejection Process:

  1. Go to Accounting tab>Appointment claims.
  2. Set the Status: to Rejected
  3. Set your date range to ensure it covers the range the rejected claims would fall within and press Search.
  4. Click the blue icon to the left of the item you want to view and select Open Claim.
  5. Rejection codes and explanation will be found in the bottom right corner.
  6. Hover over the code to see why it was rejected.
  7. For most rejected claims they will be code 44 which is that the patient's demographics are incorrect. If this is the case click on the Edit Patient link beside their name and adjust winch ever field is incorrect. Then Save the changes.
  8. Now Press the Resubmit button in the bottom right corner of the screen
  9. When you've updated all the rejected claims go to the claims search page.
  10. When the next submission is sent these claims will automatically be resubmitted.
  11. If you are unsure as to why a claim has been rejected you can print the Query form for the claim by clicking on the Query form link in the left side of the claim screen below the patient demographics.

 

Delete a submission

  1. Go to Accounting>Claim Submissions.
  2. Only delete a file you have not submitted. Hover over the submission you want to delete and select delete. You can now start over.
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