07Drawer 07, Claims in Alberta
Card 4 of 7
The AHCIP Billing Terms, in short
The question: What do the AHCIP Billing Terms say?
Qlynic sends the claims your clinic approves and brings back the results; it isn't a billing agent and gives no coding or fee advice. The clinic keeps its identifiers current and is responsible for every claim, and codes suggested by AI are drafts until the practitioner confirms them. Alberta Health alone decides what is paid, and there's no fee per claim.
Qlynic's part
Send the claims your clinic approves, in the format Alberta Health requires, and bring back the assessments. It doesn't decide what is claimed, doesn't give coding or fee advice, and never holds or directs the money: payments go from Alberta Health to the clinic.
The clinic's part
- Keep AHCIP participation and identifiers current.
- Make sure every claim is accurate and for services actually provided.
- Confirm every code: codes suggested by AI are drafting aids until the practitioner confirms them.
- Review results and correct and resend in time.
Payment and audits
Alberta Health alone decides what is paid. The clinic cooperates with audits, and submission records are provided on request.
Fees
Sending claims is part of the subscription, with no per-claim fee unless the order says otherwise.
This is a summary for convenience, not legal advice; the full text governs.
Where to look