OHIP explanatory code DE

What DE means

The Ministry of Health’s official wording for DE is: “Lab tests already paid-visit fee adjusted.”

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 DE

OHIP shows this was already paid - confirm it is not a true duplicate; file a Remittance Advice Inquiry with detail if the service was genuinely separate.

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

• DAMaximum for this procedure reached - paid as repeat/chronic procedure
• DBOther dialysis procedure already paid
• DCProcedure paid previously not allowed in addition to this procedure- fee adjusted to pay the difference
• DDNot allowed as diagnostic code is unrelated to original eye exam
• DFCorresponding fee code was not billed or paid at zero
• DGDiagnostic/Miscellaneous services for hospital patients are not payable on a fee-for-service basis in the Hospital Global budget.
• DHVentilatory support allowed with Haemodialysis
• DLAllowed as laboratory tests in private office