{"id":18265,"date":"2025-03-03T09:58:01","date_gmt":"2025-03-03T14:58:01","guid":{"rendered":"https:\/\/www.wcb.mb.ca\/?page_id=18265"},"modified":"2026-01-13T14:34:01","modified_gmt":"2026-01-13T19:34:01","slug":"gestion-des-reclamations-refusees","status":"publish","type":"page","link":"https:\/\/www.wcb.mb.ca\/fr\/fournisseurs-de-soins-de-sante\/facturation-et-paiements\/gestion-des-reclamations-refusees\/","title":{"rendered":"Gestion des r\u00e9clamations refus\u00e9es"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"18265\" class=\"elementor elementor-18265 elementor-8104\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a05771c e-flex e-con-boxed e-con e-parent\" data-id=\"a05771c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ec581a elementor-widget elementor-widget-st-header-image\" data-id=\"5ec581a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-header-image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-headerImage g-layout__padding c-headerImage--noImage\"><div class=\"c-headerImage__container g-layout__maxWidth\"><div class=\"c-headerImage__content\"><div ><h1>Gestion des r\u00e9clamations refus\u00e9es<\/h1><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-12479005 e-grid e-con-boxed e-con e-parent\" data-id=\"12479005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a72bbea e-con-full e-flex e-con e-child\" data-id=\"a72bbea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d952ca2 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"3d952ca2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Lorsque la r\u00e9clamation d\u2019un travailleur est refus\u00e9e, les \u00e9tapes suivantes s\u2019appliquent\u00a0:<\/p>\n<p><strong>Notification du refus<\/strong><br \/>Vous recevrez une lettre indiquant qu\u2019il n\u2019est plus n\u00e9cessaire de soumettre des rapports m\u00e9dicaux \u00e0 la WCB pour cette r\u00e9clamation. La lettre pr\u00e9cisera si toute facture additionnelle doit \u00eatre achemin\u00e9e \u00e0 un autre assureur comme Sant\u00e9 Manitoba.&nbsp;<\/p>\n<p><strong>Recouvrement des co\u00fbts li\u00e9s aux r\u00e9clamations refus\u00e9es<br \/><\/strong>Si la WCB vous a d\u00e9j\u00e0 pay\u00e9 pour des services li\u00e9s \u00e0 une r\u00e9clamation refus\u00e9e, ces co\u00fbts seront d\u00e9duits de paiements ult\u00e9rieurs \u00e0 votre compte. Les co\u00fbts faisant normalement l\u2019objet d\u2019un recouvrement comprennent les frais non n\u00e9goci\u00e9s au pr\u00e9alable avec la WCB et ceux couverts par un autre assureur comme Sant\u00e9 Manitoba. Les frais de rapport ne seront pas recouvr\u00e9s, car ceux-ci demeurent exigibles.<\/p>\n<p><strong>R\u00e9clamations modifi\u00e9es<\/strong><br \/>Si l\u2019\u00e9tat de la r\u00e9clamation d\u2019un travailleur change apr\u00e8s la prestation de vos services, la WCB pourrait tenter de recouvrer une partie ou tous les paiements qui vous ont \u00e9t\u00e9 vers\u00e9s ant\u00e9rieurement. En pareil cas, on vous conseillera de soumettre votre demande de paiement \u00e0 Sant\u00e9 Manitoba ou \u00e0 un assureur autre que la WCB.&nbsp;<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-24ff0d16 e-con-full e-flex e-con e-child\" data-id=\"24ff0d16\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a99c988 elementor-widget elementor-widget-st-link-list\" data-id=\"6a99c988\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-link-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-linkList c-linkList--default c-linkList--default\"><h2 class=\"c-linkList__title\"><span >Liens connexes<\/span><\/h2><div class=\"c-linkList__list\"><div class=\"c-linkList__item\"><a class=\"c-linkList__itemBtn g-btn__arrow--fullWidth\" href=\"\/fr\/fournisseurs-de-soins-de-sante\/facturation-et-paiements\/\"><span >Facturations et paiements<\/span><\/a><\/div><div class=\"c-linkList__item\"><a class=\"c-linkList__itemBtn g-btn__arrow--fullWidth\" href=\"\/fr\/fournisseurs-de-soins-de-sante\/\"><span >Information pour les fournisseurs de soins de sant\u00e9<\/span><\/a><\/div><div class=\"c-linkList__item\"><a class=\"c-linkList__itemBtn g-btn__arrow--fullWidth\" href=\"https:\/\/www.wcb.mb.ca\/uploads\/2026\/01\/0309.pdf\" target=\"_blank\"><span >Guide de facturation \u00e0 la WCB<\/span><\/a><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b1416ab elementor-widget elementor-widget-st-cats\" data-id=\"2b1416ab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"st-cats.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"c-ctaList\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Gestion des r\u00e9clamations refus\u00e9es Lorsque la r\u00e9clamation d\u2019un travailleur est refus\u00e9e, les \u00e9tapes suivantes s\u2019appliquent\u00a0: Notification du refusVous recevrez une lettre indiquant qu\u2019il n\u2019est plus n\u00e9cessaire de soumettre des rapports m\u00e9dicaux \u00e0 la WCB pour cette r\u00e9clamation. La lettre pr\u00e9cisera si toute facture additionnelle doit \u00eatre achemin\u00e9e \u00e0 un autre assureur comme Sant\u00e9 Manitoba.&nbsp; Recouvrement [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":18261,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-18265","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/18265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/comments?post=18265"}],"version-history":[{"count":4,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/18265\/revisions"}],"predecessor-version":[{"id":22036,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/18265\/revisions\/22036"}],"up":[{"embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/pages\/18261"}],"wp:attachment":[{"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/media?parent=18265"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wcb.mb.ca\/fr\/wp-json\/wp\/v2\/tags?post=18265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}