The Blended Capitation Model (BCM) combines patient-based capitation payments and volume-based payments through fee-for-service (FFS).
To enroll, you must first review the documentation on the Alberta Medical Association website and contact the Alberta Medical Association’s BCM implementation team with a completed application form at actt@albertadoctors.org. Once enrolment is complete, you receive a new BCM Business Arrangement (BA) number.
Providers can bill either under their Business Arrangement (BA) number for FFS or BCM. You can choose a default BA number to avoid selecting it each time you bill.
To enable BCM billing in the CHR, email the CARE team at care.emraccounts@telus.com. Include the provider's full name, billing number, BCM BA number, and your preferred default BA number (FFS BA number or BCM BA number). The default BA number auto-populates on new bills.
Steps
To bill for BCM, you create the provincial bill as usual and ensure your BCM BA number is selected. Refer to Creating provincial bills (Alberta).
💡 Tip: Your default BA number auto-populates. To set your default BA number, go to Settings > Billing and click the pencil icon beside your Alberta HLink integration. Then select your preferred BA type in the Default BA Number list.
If the claim is assessed by Alberta Health Services (AHS) without refusal or the 68A explanation code, the insured bill status automatically updates to Paid at 0 dollars. If the claim is refused, refer to Managing refused or invalid bills (Alberta).
📌 Note: If a fee item is returned because the maximum number of claims has been reached, you should delete the bill. Clone the bill and submit the new one with your FFS BA number for full payment.
Updated May 2, 2025