8/27/2023 0 Comments Ohio ischedule of credits 2016V05 - Date of service is greater than Ministry of Health system run date VJ7 - Date of Service is six (6) months prior to ministry system run date Date of Service is greater than ministry system run date. Month is not in the range 01-12. Day is outside acceptable range for month. VJ5 - Date of Service is missing/not eight (8) numerics. Practitioner number is Midwife (700000-722899) referral only.ĮQC - Group Number is not registered with the ministryĮQD - Group Number is not actively registered with the ministry on this date of ServiceĮQE - Health Care Provider is not registered with the ministry as an affiliate of this Group on this date of serviceĮQF - Health Care Provider is not actively registered with the ministry as an affiliate of this Group on date of serviceĮQG - Referring Laboratory is not registered with the ministryĮRF - Referring physician number is currently ineligible for referralsĮSD - APP group affiliation on service dateĮSF - A non-encounter service claim submitted by a physician not eligible to bill FSC. Group number is in the range CAAA – CAJ9 and the FSC is not K400A. Claim submitted as Pay Provider.ĮQ5 - Laboratory Licence Number not actively registered with the ministry on this date of serviceĮQ6 - Referring/Requisitioning Health Care Provider Number is not registered with the ministryĮQ9 - Laboratory Licence Number is not registered with the ministryĮQB - Solo Health Care Provider Number is not actively registered with the ministry on this date of service. Claim submitted as Pay Patient.ĮQ4 - Health Care Provider is registered as OPTED-OUT for date of service. Acceptable codes for cardiology services for Nurse Practitioner referrals (others will reject): G310 G313 G700.ĪHA - Fee schedule code and time period mismatchĪH8 - In-Patient Admission Date and/or Master Number are missing and are required for this service codeĪH9 - Diagnostic/miscellaneous service for hospital patient is not allowed on a fee-for service basis – included in the hospital global budgetĮH1 - Service date is prior to eligibility start dateĮH2 - Version code does not match health number version code for service dateĮH4 - Service date is greater than eligibility end dateĮH5 - Service date is not within an eligible periodĮPC - Patient not rostered/rostered to another PCNĮQ1 - Solo or affiliated Health Care Provider is not registered with the ministryĮQ2 - Specialty Code is inactive or not registered on date of serviceĮQ3 - Health Care Provider is registered as OPTED-IN for date of service. The fee schedule code is C813, C815 and the referral number is not in the Midwife range (700000-722899). Billing OHIP can result in having claims sent back with Claims Error Reports detailing various issues with submitted claims.īelow is a list of error codes that you may see on your reports, along with a description of what the issue is:Ī2A - Patient is underage or overage for this service codeĪ2B - This service is not normally performed for this sex – please check your recordsĪ3E - No such service code for date of serviceĪ3F - No fee exists for this service code on this date of serviceĪ4D - Invalid specialty for this service codeĪC4 - A valid Referring/Requisitioning Health Care Provider number must be present for this service code.
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