Remittance Advice · Payment-time (remittance)
OHIP explanatory code VC
Procedure Paid Previously Not Allowed In Addition To Visit Fee. Fee Adjusted To Pay The Difference
What VC means
The Ministry of Health’s official wording for VC is: “Procedure Paid Previously Not Allowed In Addition To Visit Fee. Fee Adjusted To Pay The Difference.”
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 VC
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
- 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
- VBAdditional Oculo-Visual Assessment (OVA) is allowed once within the second year for patients aged 20-64, following a periodic OVA
- 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
- VPAllowed with special visit only
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.