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OHIP Rejection Code Library
Learn how to fix OHIP rejections and get your claims paid
- EPF - Enrollment Date Mismatch
- EQ1- Health care provider is not registered
- EQ2 - Specialty code is inactive or not registered on date of service
- EQB - Inactive provider billing number
- EQC - Group number is not registered
- EQD - Group number is not registered
- EQE - Healthcare provider not registered as an affiliate of group
- EQF - Healthcare provider is not ACTIVELY registered
- EQG - Referring laboratory is not registered with the Ministry of Health
- ERF / EQ6 - Inactive or invalid referring physician
- ESD – APP Group Affiliation on Service Date
- ESF – A non-encounter service claim submitted by a physician not eligible to bill FSC codes
- ET1 - Provider Not Registered for Virtual Care Program
- ET4 - Virtual Care Program B-Code Missing or SLI Code Invalid
- ET5 - Virtual Care Program SLI Code Missing
- HCC - Not on Health Care Connect (HCC) database
- HCE - HCE Enrolment After 3 months
- R02 / R03 - Reciprocal Medical Billing Error
- R08 - Invalid referral number
- TM1 - Duplicate Virtual Care Claim for Same Patient
- TM3 - Service Not Payable Under Virtual Care Program
- TM4 - Non-Virtual Care Claim Already Paid for This Patient
- TM6 - Virtual Care Program Registration Not in Effect on Service Date
- TM5 - Virtual Care Claim Already Paid for This Patient
- TM7 - Dental Services Not Payable Under Virtual Care Program
- V08 - Invalid specialty code
- V09 - Invalid referral number
- V16 - Unacceptable Diagnostic Code
- V21 - Diagnostic Code Required
- V22 - Invalid diagnostic code