OHIP explanatory code E5

What E5 means

The Ministry of Health’s official wording for E5 is: “Service date not within an eligible period.”

This code appears as an explanatory code on your monthly Remittance Advice (RA). It means the claim was adjudicated — paid, reduced, or refused — for the reason below. A claim already on your RA generally shouldn't be blindly resubmitted; follow the suggested action.

How to fix E5

This explains a payment adjustment. If you believe the claim was billed correctly, file a Remittance Advice Inquiry within the deadline; otherwise no resubmission is needed.

Payment-time codes appear on the monthly Remittance Advice after adjudication. Some are informational, some explain a reduced or refused payment. Where you disagree with the outcome, the usual route is a Remittance Advice Inquiry or written inquiry — not resubmitting the same claim, which can create a duplicate.

Related codes

• E1Service date prior to start of eligibility
• E2Incorrect version code for service date
• E3Version Code not on File for HN (Health Number)
• E4Service date after the eligibility termination date
• E6Service Date after Eligibility End Date - Eligibility Terminated as MOH Records Indicate Patient Deceased
• E9Service Date after Eligibility End Date - Eligibility Terminated Due to no Response to Notice to Register
• EAService date is not within an eligible period - Services provided on or after the 20th of this month will not be paid unless eligibility status changes
• EBCoding added/changed in accordance with Schedule of Benefits