OHIP Error Report code EQM
Not Registered for Use
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
- EQI · Contract characteristics error
- EQJ · Practitioner Not Eligible On Service Date New Graduate bills New Patient fee (Q013) or Physician (not a new graduate) bills new Graduate-New Patient fee (Q033).
- EQK · Master Number (MNI) Does not Meet Criteria A100 billed with a specialty code other than 00.
- EQL · Physician Not Eligible to Claim FSC A100 billed with a speciality code other than 00 or billed by provider with any Emergency Department Alternate Funding arrangement (EDAFA) group number.
- EQN · Registration Usage Error on Service Date
- EQP · Enrolment Type Not Eligible
- EQS · Practitioner Criteria Not Met