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Drawer 07 · 7 answers

Claims in Alberta

Building, checking and sending claims, and refusals.

  1. Claims in Alberta How are claims sent to the province with Qlynic? When the doctor marks a visit ready to bill, it becomes a claim from the visit's own codes, checked before it leaves: the patient record, the service, the doctor's billing number and the health number. One click sends the day's claims. If the province can't be reached, they wait and go later by themselves, and the results come back by themselves. The province alone decides what is paid. Live · Alberta only
  2. No fee per claim Is there a fee for each claim, or a share of what we bill? No. Sending claims is part of the subscription: there is no charge per claim and no percentage of what the province pays you. The price is per doctor: $89 CAD a month, or $69 a month billed yearly. Live · Alberta only
  3. The 90-day limit for a claim How long do we have to send an AHCIP claim? Under the province's rule, a claim generally has to reach it within 90 days of the date of service. In Qlynic, the claims list can be filtered by age. This is general information, not billing advice; check the province's own guidance. Live · Alberta only
  4. The AHCIP Billing Terms, in short 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. Policy
  5. Turning on claims in Alberta How do we turn on AHCIP claims for our clinic? An Alberta clinic turns claims on in setup, or any time later from Settings: the clinic or facility name, the AHCIP billing provider number, the facility number if there is one, a confirmation that the clinic operates in Alberta, and acceptance of the AHCIP billing terms. We verify the clinic and aim to confirm within one business day; claims unlock on approval. Live · Alberta only
  6. When a claim is refused What happens when a claim is refused? Results come back by themselves. For a refused claim, the advisor reads the refusal, the claim and what was sent, says what to change and where, and drafts the supporting note for you to confirm. It never changes the claim itself and never invents a number, and every attempt stays with the claim. Resubmitting costs nothing extra. Live · Alberta only
  7. Outside Alberta Does Qlynic send claims in other provinces, like Ontario or BC? No. Claims are sent for Alberta clinics only; outside Alberta, claims and claim codes aren't available. A clinic in another province still runs its front desk, charts, patient portal, payments and reports in Qlynic. Live · Alberta only

The catalogue

The other drawers.

  1. 01 Getting started 10 answers
  2. 02 Pricing & plans 12 answers
  3. 03 Front desk 8 answers
  4. 04 Clinical 8 answers
  5. 05 Patients 6 answers
  6. 06 Business 5 answers
  7. 08 Trust & privacy 10 answers
  8. 09 Support 3 answers
  9. 10 This assistant 4 answers

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