OHIP explanatory code SB

What SB means

The Ministry of Health’s official wording for SB is: “Normal pre-operative visit included in surgical fee-visit fee previously paid-surgical 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 SB

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

• S6Allowed as subsequent procedure-initial procedure previously claimed
• S7Normal pre-operative and post-operative care included in surgical fee
• S9Initial procedure not found
• SASurgical procedure allowed at consultation fee
• SCNot allowed, major pre-operative visit already claimed
• SDNot allowed, Team/Assist Fee already claimed
• SEMajor pre-operative visit previously paid and admission assessment previously paid-surgery fee reduced by the admission assessment
• SFMost Responsible Physician (MRP) visit not allowed during post- operative period-surgical fee adjusted