The AHCIP Billing Terms, in short
Arxeon transmits the claims the clinic approves under its accredited submitter prefix and retrieves the assessments; it is not a billing agent, gives no coding or fee-schedule advice and never receives or directs AHCIP funds; the clinic keeps its identifiers current and is responsible for every claim's accuracy — AI-suggested codes are drafting aids until the practitioner confirms them; Alberta Health alone decides what is paid; claims submission is included in the subscription; and the Terms' liability cap applies.
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Arxeon's role (§3)
Accredited by Alberta Health as an H-Link submitter and, in that capacity, an affiliate of the clinic under the HIA. Arxeon transmits claims prepared and approved in the clinic's account, in the formats Alberta Health requires, and retrieves the assessments and remittances. It does not decide what is claimed, does not adjudicate, and is not a billing agent. Any code or field suggestion — including AI-assisted ones — is assistive only.
The clinic's responsibilities (§4)
Maintain valid AHCIP participation and current identifiers (PRACID, BA numbers, facility numbers); ensure every claim is accurate and complete and relates to insured services actually rendered; comply with the legislation, the Schedule of Medical Benefits and Alberta Health's submission rules and time limits; review assessments and errors promptly and correct and resubmit; notify Arxeon of changes; keep the clinical records that support each claim. AI-suggested codes are drafting aids: the submitting practitioner confirms every code, and once confirmed they are the clinic's own selections for all purposes, including audit.
The lifecycle and the money (§5–§6)
Approved claims are queued and transmitted on H-Link's schedules; Alberta Health assesses on its own schedule; refusals surface with Alberta Health's response codes; payments flow from Alberta Health to the clinic under its business arrangements — Arxeon never receives, holds or directs AHCIP funds. Arxeon cannot guarantee that any claim will be accepted or paid; estimates in the platform are informational.
Audits, privacy, availability, fees (§7–§10)
The clinic cooperates with Alberta Health audits and Arxeon provides copies of the clinic's submission records on request. Claims and assessments are health information handled under the Information Manager Agreement. H-Link availability is Alberta Health's; Arxeon notifies affected clinics of suspensions and may decline to transmit a malformed claim, saying why. Claims submission is included in the subscription with no separate per-claim fee unless the Order says so.
Liability and term (§11–§12)
The Terms' disclaimers, 12-month fee cap and indemnities apply; Arxeon is not liable for Alberta Health's decisions or for outcomes attributable to inaccurate claim data or AI-assisted content the clinic confirmed. The Billing Terms apply for as long as the clinic uses the claims features and end with the Subscriber Agreement. Version 1.1, effective 11 August 2026.
Summary for convenience, not legal advice; the full text governs.
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