OHIP Remittance Advice code 37
Effective April 1, 1993 the listed benefit for this code is 0 Laboratory Medicine Services (LMS) units
Ontario Ministry of Health, Remittance Advice Explanatory Codes
Where you’ll see it
On your Remittance Advice. The claim was assessed, and this explanatory code says how it was paid, reduced or refused. The Remittance Advice arrives monthly, in the first week.
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.
For a claim already on your Remittance Advice, follow the ministry's instruction in the description. That is either a corrected resubmission or a Remittance Advice Inquiry (RAI), and both are still subject to the three-month limit from the date of service.
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 Remittance Advice codes
- 31 · Not a valid network service
- 32 · OHIP records show service(s) on this day claimed previously
- 35 · OHIP records show this service rendered has been claimed previously (used on Pay Practitioner duplicate claims)
- 36 · OHIP records show service has been rendered by another Practitioner, Group, Lab
- 40 · Service or related service allowed only once for same patient
- 58 · Claimed by another physician within group
- 60 · Not a benefit of the Reciprocal Medical Billing Agreement
- 65 · Service included in approved hospital payment