OHIP Remittance Advice code X4
Only one Bone Mineral Density (BMD) allowed within a 36 month period for a low risk patient
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
- V9 · Only one initial office visit allowed within a twelve-month period
- VG · Only one geriatric general assessment premium per patient per 12- month period
- X2 · Gastrointestinal (G.I.) tract includes cine and video tape
- X3 · Gastrointestinal (G.I.) tract includes survey film of abdomen
- X5 · Only one Bone Mineral Density (BMD) allowed within a 12 month period for a high risk patient
- X6 · Only one Bone Mineral Density (BMD) allowed within a 60 month period for a low risk patient