Alberta Billing Assistance

Guides to billing to Alberta Health (Hlink) with ClinicAid. Specific questions about common errors, specialized billing, and other special situation. Also includes Alberta cutoff dates and remittance periods.

Alberta cutoff dates and remittance periods
 The Alberta billing cycle is weekly and the official cutoff date is every Thursday at 4:00 PM. Claims that are sent before cut-off are assessed over the we...
Mon, 27 Mar, 2017 at 1:21 PM
Unable to get patient's PHN
If an Alberta patient has given an invalid PHN, or don't know their PHN you can call the Registration Research Unit. If in Edmonton the number is 780.4...
Wed, 9 Sep, 2015 at 4:48 PM
How do I handle a rejected claim with a wrong PHN if the PHN was previously out-of-province
Sometimes in Alberta a bill for an out-of-province patient is rejected because a patient has received in-province health care coverage and an Alberta prov...
Tue, 8 Nov, 2016 at 11:10 AM
Billing Armed Forces in Alberta
Armed Forces bills are all handled through BlueCross. You can find the relevant forms by following the below link: http://web-beta.medavie.bluecross.ca...
Tue, 18 Jul, 2017 at 11:16 AM
Surgical and Anesthesia Billing
 For surgical and anesthesia billing codes ClinicAid has a new Code Calculator Feature that calculates the number of calls based on the time and role modifi...
Tue, 5 Apr, 2016 at 9:38 AM
How do I submit a claim for reassessment?
To resubmit a claim that you think you have been over/underpaid for by Alberta Health you can view the claim in ClinicAid and click the Reassess button. Thi...
Wed, 21 Feb, 2018 at 8:35 AM
Alberta Medical Billing Explanatory Codes
EXPLANATORY CODES As of 2015-04-01  1 NOT REGISTERED We have no record of this person registered wi...
Thu, 14 Apr, 2016 at 2:16 PM
How do I submit an outdated claim?
In Alberta you have 180 days from the date of service to submit your claim. Unless you have an extenuating circumstance your claim will not be payable. For ...
Thu, 16 Mar, 2017 at 3:10 PM
How to fill out a BA (Business Arrangement) request form.
Note that all sections must be filled out in to avoid delay with your request. Please allow 7-10 business days for Alberta Health to process your request. ...
Mon, 20 Mar, 2017 at 3:35 PM
How do I change or reassess an invoice with codes C or R ?
If on your Statement of Assessment you see an "APLY" code, it means that the claim has been processed and assessment is completed. The claim may b...
Wed, 3 May, 2017 at 9:19 AM