Additional Information on the Acuity Modifier payments on the November 2025 Remittance Advice

To: Family Health Network (FHN) and Family Health Organization (FHO) Physicians
Category: Primary Health Care Services
Written by: Physician Relations and Contract Oversight Branch, Physician and Provider Services Division
Date issued: November 18, 2025
Bulletin Number: 251104

November 2025 Remittance Advice Payment Issue

Further to INFOBulletin 250901, an acuity modifier payment issue under the “Network Base Rate Acuity Modifier Adjustment” accounting transaction resulted in incorrect acuity reconciliation on the November 2025 Remittance Advice (RA).

The ministry continues to investigate the root cause. Once remedied, physicians will see a reversal of the incorrect reconciliation under the “Network Base Rate Acuity Modifier Adjustment” accounting transaction on a future RA.

The ministry will communicate in more detail as soon as information becomes available.

Keywords/Tags

FHN; FHO; Capitation; Acuity Modifier

Contact information

Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524. Hours of operation: 8:00 a.m. to 5:00 p.m. Eastern Monday to Friday, except holidays.