OHIP explanatory code L3

What L3 means

The Ministry of Health’s official wording for L3 is: “Not allowed in addition to other laboratory procedure(s).”

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 L3

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

• J8Coverage Not In Effect; Services Provided On Or After The 20th Of This Month Will Not Be Paid Unless Subscriber Takes Corrective Action
• J9Coverage Reinstated. Submit Claims Routinely
• L1This service paid to another laboratory
• L2Not allowed to medical Laboratory Director
• L4Not allowed to attending physicians
• L5Not allowed in addition to other procedure paid to another laboratory
• L6Procedure paid previously to another laboratory, not allowed in addition this procedure-fee adjusted to pay the difference
• L7Not allowed-referred specimen