OHIP explanatory code I3

What I3 means

The Ministry of Health’s official wording for I3 is: “Fee Schedule Code is not on the IHF (Independent Health Facility) licence profile for the date specified.”

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 I3

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

• HBSubsequent Visit Already Paid Same Day
• HFConcurrent or supportive care already claimed in period
• HMInvalid master number used on date of service
• I2Service is globally funded
• I4Records show service has been rendered by another Practitioner, Group or IHF
• I5Service is globally funded and Fee Schedule Code is not on IHF licence profile
• I6Premium not applicable
• I7Claim date does not match patient enrolment date