< Error codes

Error code

EE — Assessment paid at full fee - patient sent to hospital

Full fee, sent to hospital

OHIP paid the assessment at the full fee because the patient was going on to hospital.

What to do: Nothing to do: check the amount paid matches what you billed.

Code
EE
Description
Assessment paid at full fee - patient sent to hospital

Explanation

Updated October 26, 2026

EE explains a payment: the assessment was allowed at the full fee because the patient went on to hospital. Usually nothing to fix.

What it means

EE appears on the Remittance Advice (RA) when OHIP allows an assessment at the full fee because the patient was proceeding to hospital. It explains the payment. It is not a rejection.

How to fix it

  1. Check the amount paid on the line against what you billed.
  2. If it was paid as expected, there is nothing to do.
  3. If you think the payment is wrong, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details.

Don't resubmit if

  • The claim is already on your RA. A new claim for the same service will be treated as a duplicate. Use an RAI instead.

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

Sources