OHIP Error Report code 04
Special Visit premium payable only when submitting with FSC from the general listings
Ontario Ministry of Health, Error Report Explanatory Codes
Where you’ll see it
On your Error Report. The claim was rejected before OHIP assessed it. Error Reports arrive within about 48 hours of a submission.
The fee code doesn't fit this claim
The service code billed doesn't fit the claim as submitted: wrong for the date, the patient, or the other codes on the same claim. Check the Schedule of Benefits rule for the code, choose the one that matches what was done, and resubmit.
A rejected claim was never assessed, so the corrected claim goes back in as a new submission. The three-month limit still runs from the date of service, and a rejection doesn't reset it.
Our summary is a guide, not a ruling. The ministry’s wording and the current Schedule of Benefits are what OHIP applies. See OHIP Error Report vs Remittance Advice: reading the codes for how the two reports differ.
Related Error Report codes
- 09 · Fee Schedule Code(s) used is not correct, please resubmit claim with the appropriate FSC or submit an RAI if the claim is posted on a Remittance Advice
- 16 · Cannot be claimed alone/service date mismatch
- 17 · E409/E410 N/A-Resubmit with appropriate assist/anaesthetic premium codes
- 26 · One house call assessment (A901) allowed per visit. Please resubmit claim with appropriate service code
- A1A · Outside Service Period
- A2A · Outside of Age Limit Patient is underage or overage for this service code
- A2B · Wrong Sex for Service This service is not normally performed for this sex. Please check your records.
- A3E · No such service code for date of service