Remittance Advice codeM4

Maximum fee allowed for these services by one or more practitioners has been reached

Remittance Advice explanatory code

What this reference tells you

M4 is a Remittance Advice explanatory code. It helps interpret how the Ministry adjudicated or adjusted a submitted claim.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Before using this code

Take the code from reference to reviewed claim.