OHIP Error Report code V36
Check input criteria required for sessional billing
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 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
- V29 · Invalid In-Out-Patient Indicator
- V31 · Error in Claim Header Missing any of the following: group number, health care provider number, specialty code
- V34 · Invalid Service Code Service Code and Health Care provider type mismatch
- V35 · Invalid Out-of-Province/Out-of-Country Service
- V39 · Number of items exceeds the maximum (99)
- V40 · Invalid Fee Schedule Code Service code is missing Service code is not in the format ANNNA where: A is alphabetic (A-Z) NNN is numeric (001-999) A is alphabetic (A-C)
- V41 · Invalid Fee Billed Fee submitted is missing/not 6 numerics Fee submitted is not in the '000000'-'500000' ($$$$cc) range
- V42 · Invalid Number of Services Number of services is missing/not 2 numerics Number of services is not in the range '01-99'