OHIP Error Report code 18

Error Report
Administrative

Resubmit with man review indicator and provide supporting documentation for two assistants

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

  • 03 · Date of service does not match OP report-correct & resubmit
  • 05 · No receipt of supporting documentation requested by MOH
  • 10 · Resubmit as RMB Claim
  • 14 · Fee billed low-check for current SOB fee
  • 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
  • 28 · Resubmit the claim with Manual Review Indicator Submit your written explanation for total time spent with patient including consultation/assessment indicated using eSubmit or fax the ministry using the “Claims Flagged for Manual Review” form (2404-84) to your claims processing office. This form is available online.

Know what 18 means before the claim comes back.

Med Copilot records the ministry's codes against each returned claim, explains them, and tells you which ones re-coding can fix. Fourteen days free.

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