OHIP Remittance Advice code MD

Daily maximum has been exceeded

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

• M5 · Monthly maximum has been reached
• M6 · Maximum fee allowed for special visit premium-additional patient seen
• MA · Maximum number of sessions has been reached
• MC · Maximum number of case conferences has been reached in a 12 month period
• ME · Maximum number of e-assessments paid
• MM · Claim does not meet requirements of the Physician Schedule of Benefits
• MN · Maximum number of occipital nerve block sessions has been reached
• MO · Maximum number of Optical Coherence Tomography (OCT) services has been reached