Remittance Advice · Payment-time (remittance)
OHIP explanatory code B3
Patient-Physician Relationship Requirements Not Met
What B3 means
The Ministry of Health’s official wording for B3 is: “Patient-Physician Relationship Requirements Not Met.”
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 B3
This explains a payment adjustment. If you believe the claim was billed correctly, file a Remittance Advice Inquiry within the deadline; otherwise no resubmission is needed.
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
- AHNot allowed in addition to health exam
- APThis payment is in accordance with legislation. If you disagree with the payment, you may appeal to the General Manager
- B1Service Not Eligible for Payment When Delivered by Telephone
- B2Paid in accordance with the OHIP Schedule of Benefits for Telephone Virtual Care Services
- B4Virtual Service not allowed in addition to In-Person Equivalent Service
- B5In-Person Service Not Allowed in Addition to Virtual Equivalent Service
- B6Limited Virtual Care Service Already Paid
- B7Comprehensive Virtual Care Service Already Paid
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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.