Remittance Advice · Payment-time (remittance)
OHIP explanatory code F5
Two weeks aftercare included in fracture fee
What F5 means
The Ministry of Health’s official wording for F5 is: “Two weeks aftercare included in fracture 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 F5
The fee was reduced or capped under this rule. If you believe the full amount was payable, file a Remittance Advice Inquiry with supporting detail.
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
- EVCheck health card for current version code
- F1Additional fractures/dislocations allowed at 85%
- F2Allowed in accordance with transferred care
- F3Previous attempted reductions (open or closed) allowed at 85%
- F6Allowed as Minor/Partial Assessment
- FFAdditional payment for the claim shown
- G1Other critical/comprehensive care already paid
- GFCoverage lapsed-bill patient for future claims
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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.