OHIP Error Report code EF3

Insured services are excluded from ICHSC billings

Ontario Ministry of Health, Error Report Rejection Conditions

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 provider or registration issue

OHIP's records for the billing or referring provider, group or facility don't allow this claim: registration, specialty, or eligibility for the code. This is fixed with OHIP's registration records, not by re-coding the claim.

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

• A4D · Invalid specialty for this service code
• EF1 · ICHSC number not approved for billing on the date specified
• EF2 · ICHSC not licensed or grandfathered to bill FSC on the date specified
• EF4 · Provider is not approved to bill ICHSC fee on date specified
• EF5 · ICHSC practitioner 991000 is not allowed to bill insured services
• EF7 · Referring physician number is required for the ICHSC fee billed
• EF8 · 'I' service codes are exclusive to ICHSCs
• EF9 · Mobile site number required