Error report · Program-specific
OHIP error code TM4
Non Telemedicine Claim paid for same patient
What TM4 means
The Ministry of Health’s official wording for TM4 is: “Non Telemedicine Claim paid for same patient.”
This code appears on your Claims Error Report (downloaded through MCEDT). It means the claim was rejected at submission and was never adjudicated for payment — fix the issue below and resubmit the claim.
How to fix TM4
A non-telemedicine claim was already paid for this patient and date - confirm whether both are payable; file a Remittance Advice Inquiry if the telemedicine service was separate.
Program-specific codes come from claims routed through special programs — Reciprocal Medical Billing for out-of-province patients, WSIB, telemedicine/virtual care, and Integrated Community Health Services Centres. The fix depends on that program's own submission rules.
Related codes
- ET5Telemedicine SLI Missing/Invalid - The telemedicine billing is submitted with a telemedicine tracking code but the SLI code is not 'OTN' or is not present.
- TM1Duplicate Telemedicine Claim, Same patient
- TM2Service not Billable for Missed/ Cancelled/Abandoned Appointment
- TM3Service not payable underTelemedicine Program
- TM5Telemedicine Claim Paid for same patient
- TM6Registration not in effect on Service Date
- TM7Dental Service not eligible for Telemedicine
- TM8Not eligible for Store Forward
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Code meaning per Ontario Ministry of Health — Error Report Rejection Conditions / Error Codes (December 2022). 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.