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Collection · 11 articles

Alberta billing

AHCIP, H-Link, the 90 days and the codes.

  1. Live · Alberta The 90-day AHCIP claim limit How long do Alberta physicians have to submit an AHCIP claim? 90 days from the date of service (or hospital discharge), per AHCIP Bulletin Gen 123 in force since 31 March 2020 — a refusal on day eighty leaves ten days, not ninety — and Qlynic ages every open claim from day one, shows the age in days on the claim itself, and escalates it before the shoulder.
  2. Live · Alberta Accredited H-Link submitters What is an accredited H-Link submitter, and does Alberta Health approve billing software? A submitter is an organization Alberta Health has accredited, after conformance testing, to submit and retrieve claim files over H-Link; Arxeon holds a submitter role and prefix, so Qlynic clinics bill under Arxeon's — or under their own — and there is no such thing as "government-approved" billing software.
  3. Policy The AHCIP Billing Terms, in short What do the AHCIP Billing Terms say? 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.
  4. Live · Alberta Enabling AHCIP direct billing How do I turn on AHCIP direct billing for my clinic? During setup (or later from Settings) an Alberta clinic enters its clinic or facility name, AHCIP billing provider number and optional facility number, confirms it operates in Alberta and accepts the AHCIP third-party billing terms; Arxeon verifies the clinic and confirms within one business day, and H-Link billing unlocks on approval.
  5. Live · Alberta Explanatory codes in plain English What do AHCIP explanatory codes like 05B mean, and how does Qlynic show them? 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.
  6. Live · Alberta AHCIP billing fees Is there a per-claim fee or a percentage of my AHCIP billings? No, to both — Qlynic is $89 per doctor per month and nothing else: no percentage of an assessment, no charge per claim, no charge to correct and resubmit a rejection however many times it takes, and no separate billing service to hire.
  7. Live · Alberta How AHCIP billing works in Qlynic How do I submit AHCIP claims electronically with 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.
  8. Live · Alberta When Alberta Health is unreachable What happens to my claims when Alberta Health's H-Link system is down? Claims that can't go out queue locally and are never dropped; the next submission from anywhere in the clinic sweeps the backlog first, every attempt is written to the audit log with the environment it ran against, and clinical work — seeing patients, charting, signing prescriptions — never touches the wire.
  9. Live · Alberta Good faith, newborn and reciprocal claims How does Qlynic handle patients without a valid Alberta health number — good faith, newborns and out-of-province patients? The three patients who don't fit the form are settings on the record, not dummy numbers — Good Faith (9C) goes out flagged with the health number allowed to be blank, Newborn (9D) carries the parent's number in its own field until Alberta Health issues the baby's, and Medical Reciprocal (9A) carries the out-of-province registration number with the referring doctor's details — and Quebec is excluded because it does not take part in the reciprocal arrangement.
  10. Not built yet CII/CPAR and Netcare conformance Is Qlynic conformed with Alberta Netcare, CII and CPAR? Not yet. Arxeon filed vendor intake with Alberta Health on 13 August 2026 and was confirmed in the conformance queue for CII/CPAR, eDelivery and the Alberta Netcare Portal on 19 August 2026 — a place in the queue is not a date and, in Alberta Health's own words, does not guarantee integration.
  11. Not built yet Ontario, British Columbia and private insurance Does Qlynic support OHIP, MSP or other provincial billing? Not yet — Ontario (OHIP) and British Columbia (MSP) are marked Soon in the product navigation, with Ontario named as the next province up and BC after it, and direct billing of private insurance carriers is also Soon; only AHCIP for Alberta is live today, and no dates are committed.

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