Error report · Referral & provider
OHIP error code EG1
Group not Eligible
What EG1 means
The Ministry of Health’s official wording for EG1 is: “Group not Eligible.”
This code appears on your Claims Error Report (downloaded through MCEDT). It means the claim was rejected at submission and was never adjudicated for payment — fix the issue below and resubmit the claim.
How to fix EG1
The group isn't eligible to bill this service - confirm the group's registration/eligibility for the date, or bill under an eligible number.
Referral and provider codes relate to the referring or rendering provider number, specialty restrictions, or referral requirements attached to the fee code. Verify the provider numbers on the claim and whether the code requires a valid referral.
Related codes
- AC4Unaccepted Referral Number. Not 6 numerics Equal to the Practitioner billing number Referring number is 722900-744292 (Nurse Practitioner (NP)) and FSC is not eligible for NP referral. Referring number is 700000-722899 (Midwife (MW)) and FSC is not eligible for MW referral.
- ARFMissing Physician Referring Number
- ARPReferring Physician Number Required
- ENPInvalid FSC for Nurse Practitioner (NP)
- EP5Incorrect FSC for Group Type
- EQ1Clinic/Doctor Not on File - Practitioner not registered with OHIP
- EQ2Specialty mismatch – Specialty Code is inactive or not registered on date of service
- EQ3Claim submitted as Pay Patient - Health care provider is registered as OPTED-IN for date of service
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Code meaning per Ontario Ministry of Health — Error Report Rejection Conditions / Error Codes (December 2022). The suggested action is general information for Ontario physicians, not billing, legal, or tax advice — codes and rules change, so verify against the current Ministry of Health documents before relying on a claim.