OHIP Error Report code AM1

Service Limit Exceeded

Ontario Ministry of Health, Error Report Rejection Conditions

Where you’ll see it

On your Error Report. The claim was rejected before OHIP assessed it. Error Reports arrive within about 48 hours of a submission.

Resubmitting usually won't change this

OHIP considers the service already paid, claimed by someone else, over its limit, or not insured. A corrected resubmission generally won't be paid. If you believe OHIP's records are wrong, raise it with the ministry instead of resubmitting.

A rejected claim was never assessed, so the corrected claim goes back in as a new submission. The three-month limit still runs from the date of service, and a rejection doesn't reset it.

Our summary is a guide, not a ruling. The ministry’s wording and the current Schedule of Benefits are what OHIP applies. See OHIP Error Report vs Remittance Advice: reading the codes for how the two reports differ.

Related Error Report codes

• A3I · X-Ray Code Maximum Number Services per the Fee Schedule Master (FSM)
• A3L · Other New Patient Fee Already Paid
• AD5 · Procedure allowed previously
• AHF · Concurrent or Supportive Care Same Period
• AMR · Minimum service requirements have not been met
• AO3 · Most Responsible Physician (MRP) Visit Already Paid
• VJ7 · Stale-dated Claim
• VJ8 · Stale-dated Claim Encounter