OHIP explanatory code VB

What VB means

The Ministry of Health’s official wording for VB is: “Additional Oculo-Visual Assessment (OVA) is allowed once within the second year for patients aged 20-64, following a periodic OVA.”

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 VB

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

• V7Allowed at medical/specific re-assessment fee
• V8This service paid at lower fee as per stated OHIP policy
• V9Only one initial office visit allowed within a twelve-month period
• VAProcedure fee reduced-consultation/visit fees not allowed in addition
• VCProcedure Paid Previously Not Allowed In Addition To Visit Fee. Fee Adjusted To Pay The Difference
• VGOnly one geriatric general assessment premium per patient per 12- month period
• VMOculo-visual minor assessment is only allowed within eligibility period after a major oculo-visual examination
• VNAllowed as major oculo-visual examination for seniors with medical conditions