Explanatory codes in plain English
Alberta Health answers in codes; Qlynic carries the published SOMB explanatory codes and the H-Link front-end results and hands back plain English with the fix in it — for example 01: patient not registered with AHCIP, verify the health card details, or 05B: not eligible under AHCIP for this service date, bill the Workers' Compensation Board instead — and when the province adds a code we have no sentence for yet, its official text still comes through.
2705
What comes back
Every assessment, rejection or hold arrives with an explanatory code. Qlynic puts the code into plain English the day it lands and tells you which claim it belongs to, so a rejection reads as a sentence with the fix already in it rather than a number to look up at 4:55 on a Friday.
The twelve on the page, as Qlynic reads them
| Code | Family | What Qlynic says |
|---|
| 01 | SOMB assessment | Patient not registered with AHCIP — verify the health card details. |
| 01B | SOMB assessment | Patient is a non-resident and not covered by AHCIP. |
| 05 | SOMB assessment | Patient's personal health number was not in effect on the service date. |
| 05A | SOMB assessment | Personal health number is invalid or blank — verify the patient's health card. |
| 05AA | SOMB assessment | Patient has opted out of AHCIP and is personally responsible for payment. |
| 05B | SOMB assessment | Patient not eligible under AHCIP for this service date — bill the Workers' Compensation Board directly instead. |
| 05BB | SOMB assessment | Unique Lifetime Identifier (ULI/PHN) is blank, invalid, or does not match this patient — fix the patient's health number and resubmit. |
| 06 | SOMB assessment | A retroactive eligibility change means the patient was not covered for this service date. |
| RVRSL | SOMB assessment | Reversal record — Alberta Health undid the earlier assessment as part of a change or reassessment. Audit only. |
| DUPB | H-Link front-end | Duplicate batch number — this submission number was already used with Alberta Health. Qlynic assigns a fresh number automatically on resubmit. |
| ITTC | H-Link front-end | The submission's transaction totals did not balance. Resubmitting rebuilds it correctly. |
| TX | H-Link front-end | One or more claims in the submission failed Alberta Health's front-end checks. |
Alberta Health's published list sits underneath a hand-written English layer. When the province adds a code we haven't written a sentence for yet, its official text still comes through — nobody is left holding a bare number. Alberta Health's own published list remains the authority on what a code means.
Correcting
Correcting and resubmitting a refused claim costs nothing, however many times it takes — and it still has to happen inside the original ninety days from the date of service.
Where to look