OHIP Error Report code EQ5

Error Report
Provider registration

Lab inactive on Service date

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

  • EQ1 · Clinic/Doctor Not on File Practitioner not registered with OHIP
  • EQ2 · Specialty mismatch Specialty Code is inactive or not registered on date of service
  • EQ3 · Claim submitted as Pay Patient Health care provider is registered as OPTED-IN for date of service
  • EQ4 · Claim submitted as Pay Provider Health care provider is registered as OPTED-OUT for date of service
  • EQ6 · Incorrect Referral Number Referring/requisitioning health care provider number is not registered with the Ministry of Health
  • EQ9 · Lab Number not on File
  • EQB · Solo practitioner inactive on service date Practitioner number is Midwife (700000-722899) referral only Claims submitted by Chiropractors using their Claim Submission Number (CSN) Physician Registered as group billing only
  • EQC · Group not registered

Know what EQ5 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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