OHIP Remittance Advice code SF

Most Responsible Physician (MRP) visit not allowed during post- operative period-surgical fee adjusted

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

• SB · Normal pre-operative visit included in surgical fee-visit fee previously paid-surgical fee adjusted
• SC · Not allowed, major pre-operative visit already claimed
• SD · Not allowed, Team/Assist Fee already claimed
• SE · Major pre-operative visit previously paid and admission assessment previously paid-surgery fee reduced by the admission assessment
• SV · MRP visit not allowed during post-operative period-fee reduced to subsequent visit fee
• SW · Intensive Care Unit per diem code paid to another physician-MRP subsequent visit reduced to subsequent visit
• SX · ICU Per Diem code Paid To Another Physician, MRP Premium Not Allowed
• V5 · Only one major oculo-visual examination allowed in a 12-month period for under 19 or over 65 with medical condition; 1 in 18 month period for over 65 withouut medical condition