Addition of new Fee Schedule Codes, Error Codes, and Explanatory Codes for the Virtual Care funding framework and changes for the 'OTN' SLI.

To: OHIP Billing Software Vendors
Category: Billing Software Specifications
Written by: Claims Services Branch; Health Programs and Delivery Division
Date issued: December 22, 2022

The Ministry of Health and the Ontario Medical Association have been working together to implement the new Virtual Care funding framework effective December 1, 2022.

Please ensure that your billing software is updated to include the new Fee Schedule Codes related to Virtual Care services rendered on or after December 1, 2022.

The updated Fee Schedule Master can be found on the Ministry of Health website.

The ‘OTN’ Service Location Indicator will be discontinued for claims with service dates on or after December 1, 2022.

New Error Codes

The following new error codes will be applied to claims with service dates on or after December 1, 2022:

Error CodeDescription
AT1Only One Modality Allowed
AT2Must Include Vid Modality
AT3No Pat-Phys Relationship
AT4Modality Not Allowed
V73OTN SLI No Longer Active

For a complete listing of Error codes please see Error Report Rejection Conditions/Error Codes.

New Explanatory Codes

The following new explanatory codes will be introduced effective December 1, 2022:

Explanatory Code


B1Service Not Eligible for Payment When Delivered by Telephone
B2Paid in accordance with the OHIP Schedule of Benefits for Telephone Virtual Care Services
B3Patient-Physician Relationship Requirements Not Met
B4Virtual Service not allowed in addition to In-Person Equivalent Service
B5In-Person Service Not Allowed in Addition to Virtual Equivalent Service
B6Limited Virtual Care Service Already Paid
B7Comprehensive Virtual Care Service Already Paid
B8Service Not Eligible for Payment Virtually

For a complete listing of Explanatory codes please see Remittance Advice Explanatory Codes/Messages.


Fee Schedule Master; FSM; fee schedule codes; virtual care; telephone; video; technical bulletin; physicians; vendors; OTN

Contact information

Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524.