Remittance Advice · Payment-time (remittance)
OHIP explanatory code D3
Not allowed in addition to visit fee
What D3 means
The Ministry of Health’s official wording for D3 is: “Not allowed in addition to visit fee.”
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 D3
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
- C8Payment reduced to geriatric consultation fee-maximum number of comprehensive geriatric consultations has been reached
- C9Allowed as in-patient interim admission orders-initial assessment already claimed by other physician
- D1Allowed as repeat procedure-initial procedure previously claimed
- D2Additional procedures allowed at 50%
- D4Procedure allowed at 50% with visit
- D5Procedure already allowed-visit fee adjusted
- D6Limit of payment for this procedure reached
- D7Not allowed in addition to other procedure
Tired of decoding rejections by hand?
MedConcierge explains every rejection on your reports and helps you fix and resubmit in clicks. OHIP billing built by physicians, for physicians.
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.