Error report · Referral & provider
OHIP error code EQJ
Practitioner Not Eligible On Service Date - New Graduate bills New Patient fee (Q013) or Physician (not a new graduate) bills new Graduate-New Patient fee (Q033).
What EQJ means
The Ministry of Health’s official wording for EQJ is: “Practitioner Not Eligible On Service Date - New Graduate bills New Patient fee (Q013) or Physician (not a new graduate) bills new Graduate-New Patient fee (Q033)..”
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 EQJ
Use the new-patient fee that matches your status - Q013 if you're not a new graduate, Q033 if you are - then resubmit.
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
- EQCGroup not registered
- EQDGroup inactive on service date
- EQEAffiliated Practitioner not in Group - Health care provider is not registered with the Ministry of Health as an affiliate of this group on date of service
- EQFAffiliated Practitioner inactive - Health care provider is not actively registered with the Ministry of Health as an affiliate of this group on date of service
- EQGReferring laboratory is not registered with the Ministry of Health
- EQKMaster Number (MNI) Does not Meet Criteria - A100 billed with a specialty code other than 00.
- EQLPhysician Not Eligible to Claim FSC - A100 billed with a speciality code other than 00 or billed by provider with any Emergency Department Alternate Funding arrangement (EDAFA) group number.
- EQMNot Registered for Use
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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.