OHIP Error Report code 05
No receipt of supporting documentation requested by MOH
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.
A submission or documentation step
Something about how the claim was submitted needs to change: a missing field, a manual-review indicator, supporting documentation, or prior approval. Follow the instruction in the ministry's description, then 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
- 02 · Incorrect District code 0 Correct & resubmit
- 03 · Date of service does not match OP report-correct & resubmit
- 10 · Resubmit as RMB Claim
- 14 · Fee billed low-check for current SOB fee
- 18 · Resubmit with man review indicator and provide supporting documentation for two assistants
- 19 · Resubmit with manual review indicator and forward copy of OP Report
- 20 · Resubmit with manual review documentation i.e. consultation report/Hospital Records
- 22 · Code submitted requires prior approval