Remittance Advice · Payment-time (remittance)
OHIP explanatory code Q7
No fee allowed for treatment of immediate family
What Q7 means
The Ministry of Health’s official wording for Q7 is: “No fee allowed for treatment of immediate family.”
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 Q7
Not payable by OHIP under this rule - bill the patient or the correct payer if the service is uninsured, or file a Remittance Advice Inquiry if you believe it qualifies.
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
- P6Over-age for well-baby care
- P8Health Care Connect greater than 3 months
- P9Complex New patient
- PMMinimum roster size not met
- Q8Lab not licensed to perform this test on date of service
- R1Only one health exam allowed in a twelve-month period
- R210 Well Baby Visits Allowed Up To Two Years Of Age
- R3One Well Child Exam (Age 2-5 Years) Allowed Within A12 Month Period
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.