How AHCIP billing works in Qlynic
Claims are built from the signed encounter, validated as the doctor writes, transmitted to Alberta Health over Arxeon's own accredited H-Link connection with no gateway in between, and the assessment comes back onto the patient's chart with the explanatory code translated into plain English.
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The path
- Encounter signed. Diagnosis and service lines are checked as the doctor writes them. The claim is built from the encounter, so the record and the claim are written once, together.
- Validated. If something is wrong — a missing identifier, a province that isn't Alberta with no reciprocal number, a visit that already has a submitted claim — nothing is sent and you are told which line.
- H-Link. Approved claims are queued and transmitted to Alberta Health under Arxeon's own submitter prefix, in the format Alberta Health requires. There is a batch in there somewhere; nobody in the clinic has to hear the word. You can mark a claim ready for the next batch, or build a batch and upload it now.
- Assessment. Alberta Health adjudicates on its own schedule — the usual provincial days — and the result (paid, paid differently, held, refused) is written back onto the patient's chart with the explanatory code in plain English.
What the claim carries
Alberta lets a claim carry up to three diagnostic codes per service line, primary first; put four on the encounter and each line still picks its own three. Diagnoses are ICD-9 as Alberta's tables require. The patient's health number is checked for structure before the claim is built, not after Alberta Health rejects it.
Arxeon's role
Arxeon is the accredited pipe: it transmits the claims you approve, retrieves the results and shows them to you. It does not decide what is billed, does not adjudicate, and is not a billing agent — the clinic remains responsible for every code and every claim, and Alberta Health alone decides what is paid.
Where to look