Publications

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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Immunization and adverse reactions following immunization (Imm/ARI) : permissible values

Description

This document, also known as the Immunization Data Standard Code Tables, provides guidelines for the electronic submission of immunization data to Alberta Health. It outlines the permissible... More ≫

Description

This document, also known as the Immunization Data Standard Code Tables, provides guidelines for the electronic submission of immunization data to Alberta Health. It outlines the permissible values for various data elements required for submission, ensuring compliance with established business rules and program validation rules specific to Alberta's immunization programs and the Alberta Immunization Regulation. Organized in a systematic manner, the document includes essential data elements required to minimize data rejections and errors due to incorrect or improper data structure and format.

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Immunization batch data submission and response guidelines

Description

This document defines the requirements for the electronic submission of immunization data to Alberta Health. Adherence to this document will ensure minimal data rejection due to incorrect or... More ≫

Description

This document defines the requirements for the electronic submission of immunization data to Alberta Health. Adherence to this document will ensure minimal data rejection due to incorrect or improper data structure and format. In addition to the business rules identified in the data submission and response guidelines, there are program validation rules specific to the immunization programs established in Alberta. A comprehensive listing of all program validation rules that should be adhered to may be found in this document.

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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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Adverse events following immunization data submission and response guidelines

Description

The purpose of this document is to define the requirements for the electronic submission of Adverse Events to immunization (AEFI) data to Alberta Health. Adherence to this document will ensure... More ≫

Description

The purpose of this document is to define the requirements for the electronic submission of Adverse Events to immunization (AEFI) data to Alberta Health. Adherence to this document will ensure minimal data rejection due to incorrect or improper data structure and format. In addition to the business rules identified in the Guideline, there are program validation rules specific to the reporting of Adverse Events to immunization data.

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Immunization data submission and response guidelines

Description

The purpose of the Data Submission Guideline section of this document is to define the requirements for the electronic submission of immunization data to Alberta Health. Adherence to this document... More ≫

Description

The purpose of the Data Submission Guideline section of this document is to define the requirements for the electronic submission of immunization data to Alberta Health. Adherence to this document will ensure minimal data rejection due to incorrect or improper data structure and format. In addition to the business rules identified in the Immunization Data Submission and Response Guidelines, there are program validation rules specific to the immunization programs established in Alberta. A comprehensive listing of all program validation rules that should be adhered to may be found in this document.

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Provincial registration standards and practices manual. Version 4

Description

The purpose of this manual is to describe the standards, rules and business processes related to identity management to be applied when registering clients prior to delivering health services to... More ≫

Description

The purpose of this manual is to describe the standards, rules and business processes related to identity management to be applied when registering clients prior to delivering health services to them. This manual is not intended to be used as or replace site specific procedure manuals that support the business processes and systems, but is intended to support the practice of identity management in a consistent manner across the Alberta health system. This document should be used by any individual within the Alberta health system who is registering a client for health services or accessing an already existing client record.

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Health Professions Act handbook

Description

This guide to the Health Professions Act provides an overview of key features of the legislation for regulated health care professionals, employers and others. Examples of topics covered include... More ≫

Description

This guide to the Health Professions Act provides an overview of key features of the legislation for regulated health care professionals, employers and others. Examples of topics covered include the role of regulatory colleges, registration as a health professional, access to information, the complaints process, and continuing competency programs.

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Provincial registration standards and practices manual. Version 3

Description

The purpose of this manual is to describe the standards, rules and business processes related to identity management to be applied when registering clients prior to delivering health services to... More ≫

Description

The purpose of this manual is to describe the standards, rules and business processes related to identity management to be applied when registering clients prior to delivering health services to them. This manual is not intended to be used as or replace site specific procedure manuals that support the business processes and systems, but is intended to support the practice of identity management in a consistent manner across the Alberta health system. This document should be used by any individual within the Alberta health system who is registering a client for health services or accessing an already existing client record.

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