Qlynic Legal

AHCIP Billing Terms

1.Purpose & precedence

1. These AHCIP Billing Terms (the “Billing Terms”) apply when a Clinic enables or uses Qlynic’s electronic claims features to submit claims under the Alberta Health Care Insurance Plan (“AHCIP”) to Alberta Health through the H-Link system.
2. They are accepted together with the Subscriber Agreement during clinic setup (or on first use of the claims features) and are incorporated into the agreement between the parties. If documents conflict, precedence is: (1) the Subscriber Agreement (its Schedule A first), (2) these Billing Terms, (3) the Terms of Service, (4) other policies.
3. Nothing in these Billing Terms alters the Clinic’s obligations to Alberta Health, the AHCIP statutes and regulations, the Schedule of Medical Benefits, or the requirements of the Clinic’s regulatory college.

2.Definitions

Capitalized terms not defined here have the meanings in the Subscriber Agreement or the Terms of Service. In these Billing Terms:

Alberta Health

The Government of Alberta ministry responsible for administering the AHCIP.

H-Link

Alberta Health’s system for the electronic submission and retrieval of claim files by accredited submitters.

Submitter

An organization accredited by Alberta Health to submit and retrieve files using H-Link. Arxeon holds a Submitter Role and a submitter prefix assigned by Alberta Health.

Claim

A claim for payment for insured services, prepared from information supplied by the Clinic, in the format required by Alberta Health.

Identifiers

The identifiers Alberta Health requires for claims, including practitioner identifiers (PRACID), business arrangement (BA) numbers, facility numbers, and patient Unique Lifetime Identifiers (ULI).

Assessment

Alberta Health’s adjudication response to a Claim, including payments, adjustments, holds, and rejections, and related remittance information.

3.Arxeon’s role as submitter

1. Arxeon is accredited by Alberta Health as an H-Link Submitter and, in that capacity, acts as an Affiliate of the Clinic (as Custodian) under the Health Information Act, subject to the Information Manager Agreement in Schedule A of the Subscriber Agreement.
2. The Clinic authorizes Arxeon to transmit Claims prepared and approved in the Clinic’s account to Alberta Health under Arxeon’s submitter prefix, and to retrieve the corresponding Assessments and remittance files and present them in the Clinic’s account.
3. Arxeon will transmit Claims as approved by the Clinic, in the technical formats Alberta Health requires, and will comply with the conditions of its Submitter Role and Alberta Health’s technical and security requirements for submitters.
4. Arxeon is not a billing agent, does not provide billing, coding, or fee-schedule advice, and does not decide what is claimed. Any code or field suggestion produced by the Platform (including AI-assisted suggestions) is assistive only; a Claim is submitted only after the Clinic approves it, and the Clinic is responsible for its content.
5. Arxeon is not a party to the relationship between the Clinic, its practitioners, and Alberta Health, and has no authority to bind Alberta Health.

4.Clinic responsibilities

1. Maintain valid participation in the AHCIP, including current and accurate Identifiers (PRACID, BA numbers, facility numbers), and keep them updated in the Platform. The Clinic is responsible for the business arrangements registered with Alberta Health under which its Claims are paid.
2. Ensure every Claim is accurate and complete — correct patient (ULI), practitioner, service codes, diagnostic codes, encounter details, and dates — and relates to insured services actually rendered by a practitioner authorized under the Clinic’s arrangements.
3. Comply with the AHCIP legislation, the Schedule of Medical Benefits, and Alberta Health’s claim submission rules, including time limits for submission and resubmission.
4. Review Assessments, rejections, and error reports presented in the Platform promptly, and correct and resubmit Claims where appropriate. Alberta Health’s time limits continue to run regardless of the state of any individual Claim in the Platform.
5. Notify Arxeon promptly of changes that affect submission — for example a practitioner joining or leaving, a BA change, or an Alberta Health notice concerning the Clinic’s claims.
6. Maintain the clinical records that support each Claim, as required by Alberta Health and the Clinic’s college.

5.The claim lifecycle

1. Approved Claims are queued and transmitted to Alberta Health in accordance with H-Link submission schedules and file-format rules. Transmission times depend on Alberta Health’s processing windows.
2. Alberta Health adjudicates Claims and returns Assessments on its own schedule. Arxeon retrieves and presents Assessments as they become available but does not control their timing or content.
3. Where a Claim is rejected or returned with errors, the Platform surfaces the response codes provided by Alberta Health. Interpreting and acting on them — including correction and resubmission — is the Clinic’s responsibility, with the Platform’s tools assisting.
4. Payments and remittances flow from Alberta Health to the Clinic (or its practitioners) under the Clinic’s business arrangements. Arxeon never receives, holds, or directs AHCIP funds.

6.No guarantee of payment

1. Reassessments, recoveries, clawbacks, and audit outcomes are matters between the Clinic (and its practitioners) and Alberta Health.
2. Estimates, totals, or projections shown in the Platform are informational and based on the data entered; they are not a representation of what Alberta Health will pay.

7.Audits & records

1. Alberta Health may audit or review Claims and supporting records. The Clinic will cooperate with such audits and is responsible for responding to Alberta Health inquiries about its Claims.
2. Arxeon maintains logs of Claim transmissions and Assessment retrievals and will, on the Clinic’s reasonable request or with its authorization, provide the Clinic (or Alberta Health) copies of the Clinic’s submission records to support an audit.
3. Arxeon will cooperate with Alberta Health requirements applicable to submitters, and will notify the Clinic of any Alberta Health inquiry directed to Arxeon concerning the Clinic’s Claims, unless prohibited.

8.Health information & privacy

Claims and Assessments contain Health Information. Arxeon handles them exclusively under the Information Manager Agreement (Schedule A of the Subscriber Agreement), including its safeguards, residency, breach-notification, and retention provisions. Transmission of a Claim to Alberta Health is a disclosure made on the Custodian’s behalf for the purpose of obtaining payment for health services, as permitted by the Health Information Act; the Clinic instructs and authorizes that disclosure each time it approves a Claim.

9.Availability & accreditation

1. H-Link availability, maintenance windows, technical specifications, and submission schedules are controlled by Alberta Health and may change. Arxeon will use commercially reasonable efforts to adapt the Platform to specification changes within a reasonable time.
2. If Alberta Health suspends, restricts, or modifies Arxeon’s Submitter Role, or H-Link becomes unavailable, Arxeon will notify affected Clinics without unreasonable delay, will work to restore service, and will where practicable assist the Clinic in making interim arrangements. Claims submission may be paused during such events.
3. Arxeon may decline to transmit a Claim that is malformed, fails Alberta Health validation, or that Arxeon reasonably believes would breach its submitter obligations or law, and will tell the Clinic why.

10.Fees

Claims submission is included in the subscription described in the Clinic’s Order; no separate per-claim fee applies unless expressly stated in the Order. Fees, billing, and taxes are otherwise governed by Section 6 of the Terms of Service.

11.Liability

1. The disclaimers, limitation of liability (including the 12-month fee cap), and indemnities in Sections 16–18 of the Terms of Service apply to these Billing Terms.
2. Without limiting them: Arxeon is not liable for Alberta Health’s decisions, timing, reassessments, or recoveries; for the consequences of inaccurate or incomplete Claim data supplied by the Clinic; or for missed submission windows arising from the Clinic’s delay in approving or correcting Claims.
3. Arxeon is responsible for transmitting approved Claims as approved; its liability for a failure to do so is subject to the Terms and is conditional on the Clinic notifying Arxeon of the failure within a reasonable time of the Assessment (or its absence) becoming apparent in the Platform.

12.General

1. Amendments. Arxeon may amend these Billing Terms as Section 19 of the Terms provides (at least 30 days’ notice for material changes), and may make immediate technical changes required by Alberta Health, with notice.
2. Term. These Billing Terms apply for as long as the Clinic uses the claims features, and end with the Subscriber Agreement. Sections 6–8 and 11 survive.
3. Everything else — notices, assignment, force majeure, severability, interpretation, governing law and jurisdiction (Alberta law; courts of Alberta sitting in Calgary) — is as set out in Sections 20–21 of the Terms of Service.
4. Contact. Arxeon Inc., 2705 225 11 Ave SE, Calgary, Alberta T2G 0G3 · legal@qlynic.com.

Related documents

§Version history

Version	Date	Summary
1.0	July 12, 2026	First publication: Arxeon’s accredited H-Link submitter role and HIA affiliate status; clinic responsibility for Identifiers and claim accuracy; claim lifecycle and Assessment handling; no guarantee of payment; Alberta Health audit cooperation; privacy handoff to the Information Manager Agreement; accreditation and availability provisions; liability allocation.

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