OHIP Claims Error Report
Error codes
21 in this library
OHIP error and rejection codes, explained for Ontario specialists
If you're searching an OHIP error code, chances are you have an unpaid claim on the screen, and missing dollars in your bank account. These pages explain what the Ministry's wording means, what actually fires the edit, and whether the item can be resubmitted inside the three-month window.
These pages are designed to help any Ontario physician, assistant, billing administrator, medical clinic manager, or owner better understand their OHIP errors as they appear on the RA, learn from them, and improve them.
21 codes in this library so far, starting with referral and consultation integrity. Family-practice rostering codes are out of scope. Read the remittance advice field guide if you are still matching error-report codes to RA explanatory codes.
Provider registration and referrals
- AC4Unaccepted referring provider number
- EQ6Referring provider number not registered
- ERFReferring physician number currently ineligible
- V09Referring provider number invalid
- EQ1Billing provider not registered with the ministry
- EQ2Specialty code inactive or not registered on the service date
- EQ3Opted-in physician billed as pay patient
- EQ4Opted-out physician billed as pay provider
- V10Referring number or patient last name invalid
Claim validation
Hospital and emergency equivalent
Eligibility and health number
Codes covered in full articles
These two codes have longer write-ups rather than a library entry. There is one page per code, so start here for either of them.