Find out why every claim was rejected — free
Send us a Ministry of Health rejection file and we'll send back a plain-English report: what each error code means, which claims are still recoverable, and what to change before you resubmit.
Submission batch — illustrative example
- Health card Card expired or version code did not match at date of service 23
- Eligibility Patient not eligible on the service date submitted 14
- Fee code Service code / diagnostic code combination not payable as submitted 11
- Duplicate Claim already submitted for this patient, provider and date 9
- Other Provider registration, referral and date-of-service issues 7
Illustrative layout using representative categories. Your report is generated from your own rejection file and shows the ministry's actual codes.
Why we give this away
A rejection file is the most honest document a practice owns. It is the ministry telling you, in detail, exactly where your billing and your intake process are losing money — and almost nobody reads it, because it arrives as a wall of codes weeks after the visit, addressed to nobody in particular.
We could charge for translating it. We would rather you saw it. If the report shows twenty-three claims rejected because a health card was expired at the date of service, you have learned something worth more than the report: that the fix belongs at check-in, not in the billing queue. Some practices act on that with us. Some act on it on their own. Both outcomes are fine.
So this one is free — no account, no payment method, no volume limit dressed up as a trial. Send the file, get the report.
How it works
Three steps, no account
- 1
Send the file
The rejection or error file your billing receives back from the ministry after a claim submission. Not sure which one that is? Send what your software gives you and we'll identify it.
- 2
We decode it
Every error and explanatory code is translated, rejections are grouped by underlying cause, and correctable claims are separated from the ones that were never going to be paid.
- 3
You fix and resubmit
You get a worklist ordered by recoverable dollars, with the specific correction for each group. Inside PocketEMR the same workflow continues straight through to resubmission.
The pattern nobody sees
Most rejections are one mistake, repeated
Rejections do not arrive as a list of causes. They arrive as a list of claims, which is why a single upstream problem reads as sixty unrelated failures and gets worked one row at a time.
Grouping them is the whole trick. Once you can see that twenty-three of the sixty-four share one cause, the question stops being how do we reprocess these and becomes what do we change so this stops happening — which is a much cheaper question to answer.
Caught at the desk
Expired cards, wrong version codes and ineligible patients are visible before the visit if anyone checks. That is what the OHIP Validation API is for — and it is the single largest category in most rejection files we see.
Caught in the claim
Fee code combinations, referral requirements and date-of-service errors are billing-side problems. They are fixable, but only if someone knows which claims to look at and what specifically to change.
Not worth chasing
Some rejections are correct: the service genuinely was not payable as submitted. Knowing which ones those are is worth as much as knowing which to fix, because it is time you stop spending.
Send us a rejection file
Email it to support@drtools.ca with your provider number and the billing software you use. We'll come back with the report. If you'd rather talk it through first, the demo form works for that too.
The report
What the report contains
Every code decoded
Each ministry error and explanatory code translated into a sentence a human can act on — including the common billing-side codes such as E449, E405 and V974.
Grouped by cause
Forty rejections from one recurring mistake show up as one line with a count of forty — not forty separate problems to work through individually.
Fixable vs. not
A rejected claim you can correct and resubmit is a different problem from one that was never billable. The report separates the two so you spend time where money actually is.
The specific correction
Which field is implicated and what typically has to change before resubmission — not just that something was wrong somewhere in the claim.
A worklist you can hand over
The output is ordered by recoverable dollars, so whoever does your billing can start at the top and work down instead of deciding where to begin.
Patterns over time
Run it again after a few submission cycles and the same report shows whether the recurring causes actually went away — the only proof that a process change worked.
FAQ
MOH Rejection Correction Report questions
Is the rejection correction report actually free?
Yes, genuinely free. There is no per-report fee, no claim-volume charge and no card required to run one. We offer it because a practice's rejection file is the most honest description of where its billing is losing money, and showing you that is a better introduction than a sales call.
What do I upload?
The rejection or error file you receive back from the Ministry of Health after a claim submission. If you are not sure which file that is, send us what your billing software gives you and we will point at the right one.
What does the report tell me?
For every rejected claim: the ministry's error code, what that code means in plain English, which field is implicated, and what typically has to change before resubmission. It also groups rejections by cause, so a single recurring mistake shows up as one line with a count rather than forty separate problems.
Which error codes does it decode?
The Ontario explanatory and error codes that appear in MOH claim responses — including the common billing-side codes such as E449, E405 and V974 — with the ministry's meaning and the practical correction alongside each one.
Do I need to be a Dr. Tools customer?
No. The report stands on its own. It is also built into the PocketEMR billing module for practices that use it, where the correction workflow continues straight into resubmission.
What happens to the file I upload?
It is processed in Canada and handled under the same safeguards as the rest of our services. If you would like it deleted after the report is generated, ask and we will do so.
It costs nothing to find out
Email us the rejection file your billing gets back from the ministry. We'll return the report. No account, no card, no obligation to buy anything afterwards.