Remittance Advice · Payment-time (remittance)
OHIP explanatory code 58
Claimed by another physician within group
What 58 means
The Ministry of Health’s official wording for 58 is: “Claimed by another physician within group.”
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 58
If you provided or assessed the patient first, file a Remittance Advice Inquiry with supporting documentation.
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
- 54Interim payment - claim under review
- 55Deduction is an adjustment on an earlier account
- 56Claim under review
- 57This payment is an adjustment on an earlier account
- 59Practitioner's notification - WCB claims
- 60Not a benefit of the Reciprocal Medical Billing Agreement
- 62Claim assessed by Assessment Officer
- 65Service included in approved hospital payment
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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.