< Error codes

Error code

B6 — Limited Virtual Care Service Already Paid

Limited virtual care already paid

A limited virtual care service (A101 or A102) was already paid for this patient, so this virtual service wasn't paid.

What to do: Compare it with the paid A101 or A102 claim; if they were the same encounter, there is nothing to fix.

Code
B6
Description
Limited Virtual Care Service Already Paid

Explanation

Updated October 26, 2026

OHIP didn't pay this virtual service because a limited virtual care service (A101 or A102) was already paid for this patient.

What it means

Code B6 means a virtual service was refused because a Limited Virtual Care service was already paid for the patient.

Limited Virtual Care (A101 by video, A102 by phone) is for patients with no existing patient-physician relationship (A67, A73). The Ministry's code list doesn't say which services conflict or over what period.

Common causes

  • Two virtual claims for the same encounter
  • Both A101 and A102 billed for one visit
  • A comprehensive virtual service and a limited virtual service billed for the same encounter

How to fix it

  1. Compare the refused line with the paid A101 or A102 claim: date, physician and reason for the visit.
  2. If they were the same encounter, there is nothing to fix.
  3. If they were separate, medically necessary visits, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details such as your chart notes.

Don't resubmit if

  • Both claims describe the same encounter.
  • The claim is already on the RA and you only disagree with the decision. Use an RAI, not a new claim.

How APEX handles it

APEX reads your error reports and remittance advice from MCEDT and lists claims rejected with this code in its Correction Centre for you to correct and resubmit. See how APEX works · Pricing

Related codes: B7, B3, B4, B5

Sources