Use the Alberta WCB C569 Medical Supplies Invoice to bill for medical supplies given to patients with work-related injuries or illnesses. This form applies to supplies that have a valid fee code from either Alberta Health Care (AHC) or Alberta WCB and are not included in the service fee such as crutches, braces, or specialized medical equipment.
Steps
1. Create an insured bill in the CHR, either from an encounter, the Visits dashboard, the Billing dashboard or the Insured Billing section of the patient’s chart. Refer to Creating provincial bills (Alberta).
2. Perform one of the following actions:
If you're creating a new bill, click +New Payment.
If you're reviewing or editing a bill that's already been created (for example, if the provider created the bill from the encounter), click the bill.
The insured payment window appears.
3. Select Alberta WCB from the Payment Issuer list.
4. Select the Billing Practitioner and then select Alberta WCB from the Available Billing Provider list.
5. Add a billing item (service code) to the bill or click to edit a billing item. See Adding billing items (service codes) to provincial bills.
6. Click +WCB. From the Form Type select Medical Supplies Invoice - C569.
7. Under Active WCB Claim to Use as Default, select the corresponding visit report from the list or select No WCB claim. Click Continue.
8. The Medical Supplies Invoice - C569 form window appears.
9. Ensure all required fields are completed.
10. Set the Form Status to Ready - validation on and click Save.
11. In the insured payment window, change the status to Ready to Submit. Click Save.
Updated January 15, 2025