OHIP explanatory code 47

What 47 means

The Ministry of Health’s official wording for 47 is: “Not Paid Per 2nd Review by Medical Advisor (MA).”

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 47

Not paid after a second review by a Medical Advisor - the routine dispute path has been used. If you still disagree, contact your ministry claims office about next steps, with your full clinical documentation ready.

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

• 41Fee Schedule Code (FSC) Billed - No Evidence in Supporting Documentation Provided
• 42FSC Billed Included in Other Procedure
• 45Specialty code restriction on Fee Schedule Code
• 46Paid Per 2nd Review by Medical Advisor (MA)
• 48Paid as submitted - clinical records may be requested for verification purposes
• 49Paid according to the average fee for this service. Independent consideration will be given if clinical records/operative reports presented.
• 50Paid in accordance with the Schedule of Benefits
• 51Fee Schedule Code changed in accordance with Schedule of Benefits