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Error code

GF — Coverage lapsed - bill the patient for future claims

Patient's coverage has lapsed

Ministry records show the patient's OHIP coverage has lapsed; future claims won't be paid until coverage is restored.

What to do: Tell the patient their coverage has lapsed and ask them to contact ServiceOntario.

Code
GF
Description
Coverage lapsed - bill the patient for future claims

Explanation

Updated October 26, 2026

GF: the patient's OHIP coverage has lapsed. Ask them to contact ServiceOntario. Future services may have to be billed to the patient.

What it means

GF means the Ministry's records show the patient's OHIP coverage has lapsed. The message warns that future claims for this patient will not be paid by OHIP until coverage is restored, and the patient may be billed instead.

Common causes

  • The patient did not renew their health card
  • The patient left Ontario or did not meet residency rules
  • Coverage ended for another reason on the Ministry's file

How to fix it

  1. Check the amount paid on this line.
  2. Tell the patient their coverage has lapsed and ask them to contact ServiceOntario.
  3. Run a health card validation check before the next visit.
  4. For services after coverage ended, bill the patient or wait until coverage is restored.

Don't resubmit if

  • A validation check shows the patient is still uncovered.

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: EH4, EH5, EF, EV

Sources