OHIP Remittance Advice code 57

This payment is an adjustment on an earlier account

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.

Nothing is wrong with the claim

This code explains how OHIP priced the line under a Schedule of Benefits rule. It usually appears beside a partial payment. There is nothing to correct. Check it only if the amount looks lower than you expected.

If the payment still looks wrong after reading the rule, you can ask OHIP to review it with a Remittance Advice Inquiry (RAI).

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

• 48 · Paid as submitted clinical records may be requested for verification purposes
• 50 · Paid in accordance with the Schedule of Benefits
• 53 · Fee allowed according to appropriate item in a previous Schedule of Benefits
• 55 · Deduction is an adjustment on an earlier account
• 66 · Reduced per Alternative Payment Program (APP) Funding Contract
• 69 · Elective Services Paid At 75% Of OHIP Schedule of Rates
• 80 · Technical fee adjustment for hospitals
• B2 · Paid in accordance with the OHIP Schedule of Benefits for Telephone Virtual Care Services