Error report · Referral & provider
OHIP error code EQL
Physician 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.
What EQL means
The Ministry of Health’s official wording for EQL is: “Physician 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..”
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 EQL
You can't claim A100 under your specialty (non-00) or EDAFA group arrangement - bill the appropriate assessment code instead, 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
- 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
- EQJPractitioner 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).
- EQKMaster Number (MNI) Does not Meet Criteria - A100 billed with a specialty code other than 00.
- EQMNot Registered for Use
- EQSPractitioner Criteria Not Met
- ERFReferring physician number is currently ineligible for referrals
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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.