OHIP Error Report code EP4

Enrolment Restriction Applied

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.

What to do depends on the claim

The right fix depends on the details of the claim. Read the ministry's description closely, compare it with what was submitted, and correct whichever field it points to.

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

• ENP · Invalid FSC for Nurse Practitioner (NP)
• EP1 · Enrolment Transaction Not Allowed
• EP2 · Not for Enrolment/ReEnrolment
• EP3 · Incorrect Service Date Check Date of Enrolment
• EP5 · Incorrect FSC for Group Type
• EP7 · Code must be billed alone
• EPA · Network billing not approved
• EPC · Patient not rostered/rostered to another Network