OHIP Error Report code 81
Explanation of benefits required
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
- 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.
- 29 · Discrepancy between claim and documentation. Resubmit claim and documentation.
- 83 · Return with agency claim submission form
- 84 · Complete translation required
- 85 · Itemized breakdown for all charges required
- 86 · Explanation of benefits/invoice total mismatch