Remittance Advice · Payment-time (remittance)
OHIP explanatory code 09
Fee Schedule Code(s) used is not correct, please resubmit claim with the appropriate FSC or submit an RAI if the claim is posted on a Remittance Advice
What 09 means
The Ministry of Health’s official wording for 09 is: “Fee Schedule Code(s) used is not correct, please resubmit claim with the appropriate FSC or submit an RAI if the claim is posted on a Remittance Advice.”
This code appears as an explanatory code on your monthly Remittance Advice (RA). It means the claim was adjudicated — paid, reduced, or refused — for the reason below. A claim already on your RA generally shouldn't be blindly resubmitted; follow the suggested action.
How to fix 09
Resubmit the claim as the reason indicates (for example with the correct fee schedule code), or file a Remittance Advice Inquiry if it was already billed correctly.
Payment-time codes appear on the monthly Remittance Advice after adjudication. Some are informational, some explain a reduced or refused payment. Where you disagree with the outcome, the usual route is a Remittance Advice Inquiry or written inquiry — not resubmitting the same claim, which can create a duplicate.
Related codes
- 30Service is not a benefit of OHIP (Ontario Health Insurance Plan)
- 31Not a valid network service
- 32OHIP records show service(s) on this day claimed previously
- 33Approved
- 35OHIP records show this service rendered has been claimed previously (used on Pay Practitioner duplicate claims)
- 36OHIP records show service has been rendered by another Practitioner, Group, Lab
- 37Effective April 1, 1993 the listed benefit for this code is 0 Laboratory Medicine Services (LMS) units
- 40Service or related service allowed only once for same patient
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Code meaning per Ontario Ministry of Health — Remittance Advice Explanatory Codes / Messages (March 2026). The suggested action is general information for Ontario physicians, not billing, legal, or tax advice — codes and rules change, so verify against the current Ministry of Health documents before relying on a claim.