OHIP Remittance Advice code EB
Coding added/changed in accordance with Schedule of Benefits
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.
The fee code doesn't fit this claim
The service code billed doesn't fit the claim as submitted: wrong for the date, the patient, or the other codes on the same claim. Check the Schedule of Benefits rule for the code, choose the one that matches what was done, and resubmit.
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
- DF · Corresponding fee code was not billed or paid at zero
- DP · Procedure paid previously allowed at 50% in addition to this procedure-fee adjusted to pay the difference
- DS · Not allowed-mutually exclusive code billed
- DT · In-patient technical fee not allowed
- F6 · Allowed as Minor/Partial Assessment
- H2 · Allowed as subsequent visit initial visit previously claimed
- H6 · Allowed as supportive or concurrent care
- H7 · Allowed as chronic care