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Error code

69 — Elective service paid at 75% of OHIP rates

Elective service at 75%

OHIP treated the service as elective and paid it at 75% of the OHIP schedule of rates.

What to do: Check the amount is 75% of the Schedule fee; send an inquiry within 7 months if the service wasn't elective.

Code
69
Description
Elective service paid at 75% of OHIP rates

Explanation

Updated October 26, 2026

OHIP paid this elective service at 75% of the OHIP schedule of rates.

What it means

Code 69 means the service was treated as elective and paid at 75% of the OHIP schedule of rates.

The Ministry's list doesn't explain which services or situations this applies to.

How to fix it

  1. Check that the paid amount is 75% of the Schedule fee.
  2. If you believe the service wasn't elective, or shouldn't have been reduced, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date.

Don't resubmit if

  • The claim is already on the RA. Changes to a claim on the RA go through an RAI, not a new claim.

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: 50

Sources