Error report · Eligibility & health card
OHIP error code EPA
Network billing not approved
What EPA means
The Ministry of Health’s official wording for EPA is: “Network billing not approved.”
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 EPA
Confirm your group is approved for network / capitation billing for this service date. If it isn't approved, bill the service under the correct payment model.
Eligibility and health card codes relate to the patient's health number, version code, or OHIP eligibility on the date of service. Most are fixed by re-checking the card (or using Health Card Validation) and correcting the patient details before resubmitting.
Related codes
- EH4Service Date after Eligibility End Date
- EH5Service Date Not in Eligibility Period
- EH6Eligibility Terminated-Deceased
- EH9Health Number (HN) Not Activated
- EPCPatient not rostered/rostered to another Network
- EPFEnrolment Date Mismatch
- EPPIncorrect Code for Eligibility (Ontario Works/Ontario Disability Support Program)
- EPSPatient Not Eligible for Program
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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.