OHIP Remittance Advice code VC
Procedure Paid Previously Not Allowed In Addition To Visit Fee. Fee Adjusted To Pay The Difference
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
- V6 · Allowed as minor assessment-initial assessment already claimed
- V7 · Allowed at medical/specific re-assessment fee
- VA · Procedure fee reduced-consultation/visit fees not allowed in addition
- VB · Additional Oculo-Visual Assessment (OVA) is allowed once within the second year for patients aged 20-64, following a periodic OVA
- VM · Oculo-visual minor assessment is only allowed within eligibility period after a major oculo-visual examination
- VN · Allowed as major oculo-visual examination for seniors with medical conditions
- VP · Allowed with special visit only
- VR · Visit reduced premium not applicable