OHIP Remittance Advice code D6
Limit of payment for this procedure 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
- 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
- C8 · Payment reduced to geriatric consultation fee-maximum number of comprehensive geriatric consultations has been reached
- D5 · Procedure already allowed-visit fee adjusted
- DA · Maximum for this procedure reached paid as repeat/chronic procedure
- DB · Other dialysis procedure already paid
- DE · Lab tests already paid-visit fee adjusted
- DG · Diagnostic/Miscellaneous services for hospital patients are not payable on a fee-for-service basis in the Hospital Global budget.