Error code
VS4 — Invalid Healthcare Item
Invalid SEAMO healthcare item
The healthcare item on this Southeastern Ontario Academic Medical Organization (SEAMO) claim isn't valid.
What to do: Check the healthcare item against the values set up for your SEAMO billing, correct it and resubmit.
- Code
- VS4
- Description
- Invalid Healthcare Item
Explanation
Updated October 26, 2026
VS4 means the healthcare item on a SEAMO claim isn't valid. Correct it with an item your SEAMO setup accepts and resubmit.
What it means
VS4 is one of a group of error codes (VS1 to VS6) for SEAMO claims. The Ministry lists it only as "Invalid Healthcare Item".
SEAMO is the Southeastern Ontario Academic Medical Organization, one of the alternate funding arrangements named in the Schedule's Appendix Q. Its claims carry extra fields that ordinary fee-for-service claims don't.
How to fix it
- Check the healthcare item on the claim against the values set up for your SEAMO billing.
- Correct it and resubmit.
- If you are not sure which value is valid, ask the people who manage SEAMO billing for your department.
Don't resubmit if
- The healthcare item has not been changed.
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: VS1, VS2, VS3, VS5, VS6