Publications

Alberta Health Care Insurance Plan bulletin [general information]

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of... More ≫

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of updates and changes to the Plan. Bulletin numbering reflects the AHCIP services to which the bulletin pertains. Bulletins in this record refer to general provisions or all services covered by AHCIP. New bulletins are released as required. Please be aware that information in older bulletins may be superseded by more recent bulletins.

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Facility and functional centre definitions and facility listing

Description

Claims to the Alberta Health Care Insurance Plan for insured services provided in formally-recognized or -accredited facilities in Alberta require a facility number and functional centre code.... More ≫

Description

Claims to the Alberta Health Care Insurance Plan for insured services provided in formally-recognized or -accredited facilities in Alberta require a facility number and functional centre code. This resource contains the facility numbers and functional centre codes that Alberta Health has assigned to these facilities.

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Alberta Health Care Insurance Plan bulletin [medical services] - Med 251 to current

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of... More ≫

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of updates and changes to the Plan. Bulletin numbering reflects the AHCIP services to which the bulletin pertains. Bulletins in this record refer to medical services covered by AHCIP. New bulletins are released as required. Please be aware that information in older bulletins may be superseded by more recent bulletins.

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Alberta Health Care Insurance Plan : Schedule of Medical Benefits as of 01 April 2024

Description

The Schedule of Medical Benefits, or SOMB, contains the fee schedule and list of medical benefits insured under the Alberta Health Care Insurance Plan, and the rules that govern billing.

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Allied health practitioner’s resource guide

Description

The purpose of this guide is to help allied health practitioners (dental surgeons, optometrists, podiatrists) and their billing staff prepare claims for services that are insured under the Alberta... More ≫

Description

The purpose of this guide is to help allied health practitioners (dental surgeons, optometrists, podiatrists) and their billing staff prepare claims for services that are insured under the Alberta Health Care Insurance Plan (AHCIP), and follow up, if necessary, after claims have been assessed. The information in this guide will help users: understand what must be included on all claims to the AHCIP; ensure that data entered on a claim is up-to-date; verify a patient's health care coverage; and understand the Alberta Health Statement of Assessment and Statement of Account. This guide is designed for use in conjunction with the Schedule of Benefits.

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Physician’s resource guide

Description

The purpose of this guide is to help physicians and their billing staff prepare claims for services that are insured under the Alberta Health Care Insurance Plan (AHCIP), and follow up, if... More ≫

Description

The purpose of this guide is to help physicians and their billing staff prepare claims for services that are insured under the Alberta Health Care Insurance Plan (AHCIP), and follow up, if necessary, after claims have been assessed. The information in this guide will help users: understand what must be included on all claims to the AHCIP; ensure that data entered on a claim is up-to-date; verify a patient's health care coverage; and understand the Alberta Health Statement of Assessment and Statement of Account. This guide is designed for use in conjunction with the Schedule of Medical Benefits.

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Alberta Health Care Insurance Plan : Schedule of Medical Benefits as of 23 October 2023

Description

The Schedule of Medical Benefits, or SOMB, contains the fee schedule and list of medical benefits insured under the Alberta Health Care Insurance Plan, and the rules that govern billing.

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Alberta Health Care Insurance Plan bulletin [Alternative Relationship Plan information]

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of... More ≫

Description

These bulletins are created to provide health care professionals with clarification and guidance in understanding the Alberta Health Care Insurance Plan (AHCIP) and to keep them apprised of updates and changes to the Plan. Bulletin numbering reflects the AHCIP services to which the bulletin pertains. Bulletins in this record refer to Alternative Relationship Plan information for AHCIP. New bulletins are released as required. Please be aware that information in older bulletins may be superseded by more recent bulletins.

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Hospital reciprocal claims guide

Description

This manual provides Alberta hospitals and health zones with a reference document outlining the policies, guidelines and processes for interprovincial/territorial hospital claims for insured... More ≫

Description

This manual provides Alberta hospitals and health zones with a reference document outlining the policies, guidelines and processes for interprovincial/territorial hospital claims for insured in-patient and outpatient hospital services.

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Alberta Health Care Insurance Plan : schedule of medical benefits as of 01 April 2023

Description

The Schedule of Medical Benefits, or SOMB, contains the fee schedule and list of medical benefits insured under the Alberta Health Care Insurance Plan, and the rules that govern billing.

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