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Error code

46 — Paid after second review by Medical Advisor

Approved after second review

A Ministry medical advisor reviewed the claim a second time and approved payment.

What to do: Nothing to do: check the amount paid against what you asked for in the review.

Code
46
Description
Paid after second review by Medical Advisor

Explanation

Updated October 26, 2026

A Ministry medical advisor reviewed the claim a second time and approved payment. No action needed.

What it means

Code 46 means the claim was paid after a second review by a Ministry medical advisor (MA).

This usually follows an inquiry or a request for reconsideration. It is informational.

How to fix it

  1. Check the amount paid against what you asked for in the review.
  2. If the amount is still not what you expected, contact the Ministry about the review outcome.

Don't resubmit if

  • The claim was paid. Sending it again would be a duplicate.

How APEX handles it

APEX reads your error reports and remittance advice from MCEDT and lists claims rejected with this code in its Correction Centre for you to correct and resubmit. See how APEX works · Pricing

Related codes: 47, 52, 62

Sources