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Error code

56 — Claim under review

Under review

The Ministry is reviewing this claim and hasn't made a final decision yet.

What to do: Don't resubmit; wait for the decision on a later remittance advice and send any records the Ministry asks for.

Code
56
Description
Claim under review

Explanation

Updated October 26, 2026

OHIP is reviewing this claim. Don't resubmit; wait for the decision on a later remittance advice.

What it means

Code 56 means the claim is under review by the Ministry. No final decision has been made.

Sending the claim again doesn't help. The Ministry's Error Report message 27 says duplicate submissions are returned while the original is pending medical consultant adjudication.

How to fix it

  1. Wait for the outcome on a later RA.
  2. Send any records the Ministry asks for, and keep the chart ready.
  3. If the claim stays under review for a long time, contact the Ministry about it.

Don't resubmit if

  • The claim is under review. A second submission will be returned as 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: 54, 52, 62

Sources