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Error code

IA — Premium not payable with this fee code

Premium not allowed with code

A premium wasn't paid because the fee code it was attached to isn't on that premium's list of eligible codes.

What to do: Check whether the main service was paid, then compare the fee code with the premium's eligible codes.

Code
IA
Description
Premium not payable with this fee code

Explanation

Updated October 26, 2026

OHIP refused a premium because it can't be paid with the fee code it was billed with. Check the premium's list of eligible codes.

What it means

IA means a premium on the claim was not paid because the fee code it was attached to is not one that premium can be paid with. Premiums apply only to a set list of codes. For example, the primary care after-hours premium applies to listed assessment and counselling codes, not to every service.

IA is close to I6. I6 says a premium doesn't apply for another reason, such as the time or the patient; IA is about the pairing of premium and fee code.

IA often appears together with other codes. With V4, the date of service was not a Saturday, Sunday or statutory holiday. With B8, the service can't be paid when delivered virtually.

Common causes

  • A premium billed with a fee code that isn't on its eligible list
  • Weekend or holiday codes such as Q888A or A888A billed on a weekday (with V4)
  • A premium on a virtual visit whose base service isn't payable virtually (with B8)

How to fix it

  1. Check which fee code the premium was billed with, and whether the main service was paid.
  2. Compare it with the premium's eligible fee codes in the Schedule of Benefits or your agreement.
  3. If the main service was paid, the premium simply doesn't apply and there is nothing to resubmit.
  4. If the whole visit came back at $0, a corrected claim without the ineligible premium, or with the right visit code, may be needed.
  5. If you believe the pairing is eligible, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date.

Don't resubmit if

  • The main service was paid. Sending the visit again would duplicate it.
  • The corrected claim would bill the same premium with the same fee code.

How APEX handles it

APEX fixes IA automatically in the Correction Centre: the corrected claim drops the premium (Q) codes and keeps the rest. With V4 it drops Q888A/A888A and uses A007A with Q012A if only premium codes are left. With B8 on a K300A/K301A virtual visit, it rebuilds the visit as A007A plus the modality code, adding Q012A on weekends and holidays. See how APEX works · Pricing

Related codes: I6, V4, B8, I2

Sources