OHIP Remittance Advice code C8

Remittance Advice
Not re-billable

Payment reduced to geriatric consultation fee-maximum number of comprehensive geriatric consultations has been reached

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

  • 70 · OHIP records show corresponding procedure(s) on this day claimed previously by another physician
  • B6 · Limited Virtual Care Service Already Paid
  • B7 · Comprehensive Virtual Care Service Already Paid
  • C7 · An admission assessment (C003A) or general re-assessment (C004A) may not be claimed by any physician within 30 days following a pre- dental/pre-operative assessment
  • D5 · Procedure already allowed-visit fee adjusted
  • D6 · Limit of payment for this procedure reached
  • DA · Maximum for this procedure reached paid as repeat/chronic procedure
  • DB · Other dialysis procedure already paid

Know what C8 means before the claim comes back.

Med Copilot records the ministry's codes against each returned claim, explains them, and tells you which ones re-coding can fix. Fourteen days free.

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