If you submit a claim to the Alberta Workers’ Compensation Board (WCB) in the CHR and it stays in the Submitted status for more than 30 days without a remittance response, you can update the status of all fee items in that claim using the Apply Correction icon.
For claims with no payments or adjustments, you can mark all fee items as Refused or Cancelled.
For claims with partial payments and adjustments, you can mark all fee items as Completed or Cancelled.
You can also resolve duplicate billings (services submitted twice in separate claims) through this correction process.
⚠️Important: You can only apply corrections from the patient chart. You cannot make corrections from Visits or the Billing dashboard.
📌Notes:
If WCB deems a claim not work-related, you must create a new bill and submit it to Alberta Health Services (AHS). Refer to Duplicating a fee item on a bill for more information.
Nurse practitioners manage their own billings because the site-level remittance file excludes their transactions.
Steps
1. For routine billing cleanup, start from the Billing dashboard.
a. From the main menu, click Billing. The Billing dashboard opens with a list of bills created today.
b. To see all claims with the Submitted status for more than 30 days, filter the Billing dashboard by:
Status: Submitted
Insurer: Alberta WCB
Service Date: Set the end date at least 30 days from today.
Billing Practitioner: Select the providers for which you want to view bills.
c. Click the patient name in the Patient column to open the chart.
2. From the patient chart, click Start/Open > Insured Billing.
📌Note: If you received a letter from Alberta WCB regarding the patient, you would start the workflow here.
3. Find the bill you want to correct and click the Apply Correction icon beside it.
The Apply Correction window appears.
📌Note: The icon only appears on bills 30 days after the submission date.
4. Under New Status, select the status from the list.
a.If you choose the status Refused, the bill updates to Attention and the fee items update to Refused.
b. If you choose the status Cancelled, the bill updates to Cancelled and the fee items update to Adjusted.
c. If you choose the status Completed, the bill updates to Completed and the fee items update to Adjusted.
5. In the Explanation field, enter a reason for the correction.
6. Click Save and confirm your action. The correction is recorded in the bill’s Transaction Details.
Updated February 7, 2025