OHIP Remittance Advice code DM
Paid/disallowed in accordance with MOH policy regarding an Emergency Department Equivalent
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
- D2 · Additional procedures allowed at 50%
- D4 · Procedure allowed at 50% with visit
- DH · Ventilatory support allowed with Haemodialysis
- DL · Allowed as laboratory tests in private office
- DN · Allowed as pudenal block in addition to procedure-as per stated OHIP policy
- DR · Self-Referred Diagnostic Services Payable at 50%
- EE · Assessment Allowed at Full Fee for Patient Proceeding to Hospital
- F1 · Additional fractures/dislocations allowed at 85%