Not always MEP means that R10 is passed. And not always having MEP pending means that R10 is pending.I think I read somewhere on IRCC website that if R10 fails, they upload the application to GCMS anyways and send a rejection and also refund all fees (cost recovery and PR, if paid).
MEP is done by Health Canada - obviously a part of the cost recovery fees would be allocated to one of Health Canada’s department. This may imply that MEP indirectly means R10 is passed.
R10 definitely is a significant milestone - the check not only places a significant onus on the applicant for completeness of the application but also empower ircc for rejection without giving much reasons. In later stages if they do realize about missing documents, a high probability exists for raising a demand for the same by VO or Case Analyst
In my case, I called IRCC on Nov 20 (btw I called not specifically to enquiry about status hahaha, but because of a name updated with error in their system), and the agent said that R10 was passed, although MEP was still pending. I got MEP until yesterday (no particular issue, no additional tests, only waiting...).
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