Error code
36 — Service already claimed by another practitioner, group or lab
Billed by another physician
OHIP's records show another physician, group or lab already billed the same service for this patient, so this claim wasn't paid.
What to do: Ask your group and covering physicians who billed the service for this patient on this date before acting.
- Code
- 36
- Description
- Service already claimed by another practitioner, group or lab
Explanation
Updated October 26, 2026
OHIP didn't pay this claim because its records show another physician, group or lab already billed the same service. Find out who before acting.
What it means
Code 36 is a Remittance Advice (RA) explanatory code. The Ministry's wording is that OHIP records show the service has been rendered by another practitioner, group or lab. The claim is not paid.
It is the companion of code 35. Code 35 means you already billed the same service yourself. Code 36 means someone else did, for the same patient and service.
Often the other claim is legitimate, for example when a colleague saw the patient, or a lab billed a test that was also claimed from the office. Sometimes it is a billing mix-up, such as a visit billed under the wrong physician's number.
Common causes
- Another physician in your group billed the same visit or service for the patient
- The service was billed under the wrong billing number, so it shows as another practitioner's claim
- A lab claimed a test that was also billed by the physician
- A service that can only be paid once per patient was already paid to another provider
How to fix it
- Check with your group and any covering physicians whether someone else billed the service for this patient on this date.
- If the other claim is correct, there is nothing to fix.
- If the service was billed under the wrong physician's number, have that claim corrected first. Changes to a paid claim go through an RAI, not a new claim.
- If you provided the service and believe you should have been paid, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with your documentation.
Don't resubmit if
- Another provider legitimately billed and was paid for the service.
- You haven't found out who billed it. Sending the claim again will usually just return 36 again.
- You want to dispute the 36. Use an RAI, not a new claim.
How APEX handles it
APEX treats 36 as a code that can't be corrected and keeps it out of the Correction Centre queue, so it never resubmits these claims. The line stays in your claims with its billed and paid amounts so you can follow it up. See how APEX works · Pricing
Sources
- Remittance Advice Explanatory Codes/Messages (Ministry of Health, March 2026)
- Resource Manual for Physicians: Claims submission (Ministry of Health)
- INFOBulletin 230402: Update, claim submission timeframe for in-province accounts (RAI period now 7 months)
- OMA: Claims Reconciliation and Remittance Advice Inquiry (RAI) Processes, Quick Reference Guide (April 2025)
- APEX: Why these OHIP billing codes usually don't need to be corrected