How do I fix OHIP error code P6?

Check the child's date of birth and age on the service date. If the date of birth was wrong, correct it in the chart and send an RAI with the correct information. Send it through eSubmit, or on form 0918-84, within 7 months of the RA date. If the child was over age, bill future well-child check-ups as a periodic health visit for a child (K017, or K267 for paediatrics), which applies after the second birthday.

When shouldn't I resubmit a P6 claim?

The child was over two years old (or over 24 months for the enhanced 18 month visit) on the service date. The claim is already on your Remittance Advice. Use an RAI, not a new claim.

< Error codes

Error code

P6 — Patient too old for well-baby care

Q: What does OHIP error code P6 mean?

P6 means the child was past the age for well-baby care, which covers the first two years of life. Bill an age-appropriate visit instead.

Too old for well-baby care

The child was past the age for well-baby care, which covers the first two years of life.

What to do: Check the date of birth; after the second birthday, bill a well-child check-up as a periodic health visit.

Code: P6
Description: Patient too old for well-baby care

Explanation

Updated October 26, 2026

P6 means the child was past the age for well-baby care, which covers the first two years of life. Bill an age-appropriate visit instead.

What it means

Code P6 means OHIP's records show the patient was too old for well-baby care on the service date.

The Schedule of Benefits defines well baby care as a periodic assessment of a well newborn or infant during the first two years of life (GP34). The enhanced 18 month well baby visit (A002, or A268 for paediatrics) is for a child 17 to 24 months old. After the second birthday, a check-up of a well child is a periodic health visit (GP21).

Common causes

A well-baby visit billed after the child's second birthday
An enhanced 18 month well baby visit billed after 24 months
A wrong date of birth on the claim or on the Ministry's record

How to fix it

Check the child's date of birth and age on the service date.
If the date of birth was wrong, correct it in the chart and send an RAI with the correct information. Send it through eSubmit, or on form 0918-84, within 7 months of the RA date.
If the child was over age, bill future well-child check-ups as a periodic health visit for a child (K017, or K267 for paediatrics), which applies after the second birthday.

Don't resubmit if

The child was over two years old (or over 24 months for the enhanced 18 month visit) on the service date.
The claim is already on your Remittance Advice. 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: P5, R2, R3, A2A