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Error code

R2 — Up to 10 well-baby visits allowed before age 2

Well-baby visit limit reached

The child already had the maximum 10 well-baby visits allowed before age two.

What to do: Count the well-baby visits already paid; once 10 are paid, another routine well-baby visit isn't payable.

Code
R2
Description
Up to 10 well-baby visits allowed before age 2

Explanation

Updated October 26, 2026

R2 means the limit of 10 well-baby visits before age two has been reached. Further visits need an assessment for a specific problem.

What it means

Code R2 means OHIP refused this well-baby visit because the patient has already had the maximum of 10 well-baby visits allowed up to two years of age.

Well baby care is a periodic assessment of a well newborn or infant during the first two years of life, with a complete examination, weight and measurements, and advice to the parents (GP34).

Common causes

  • More than 10 well-baby visits billed for the child before age two
  • Visits for an illness billed as well-baby care

How to fix it

  1. Count the well-baby visits already paid for this child.
  2. If the limit was reached, the extra well-baby visit is not payable.
  3. If the visit was for an illness or concern, it wasn't well-baby care. Send an RAI with the reason for the visit. Send it through eSubmit, or on form 0918-84, within 7 months of the RA date.

Don't resubmit if

  • The visit was a routine well-baby check after 10 had been paid.
  • 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: P6, R3

Sources