To submit claims for residents from other provinces (except Quebec), follow the below steps. The system sees the patient’s province code with the health card information and takes care of the submission details.

⚠️ Important: Quebec patients are excluded from the below process. AHCIP does not have reciprocal billing with Quebec. We recommend that you bill patients directly and instruct them to seek reimbursement when they return home.

⚠️ Important: Before creating the bill, you must ensure that:

  • the patient's health number is recorded and has the correct identification type. 📌 Note: If you do not see the identification in the list, add a new one. See Adding additional patient identifiers.

  • the patient’s full address is recorded.

    • The Province must be two letters (MB, SK, etc.) and

    • The Country must be CAN.

    📌 Note: The street address can't be longer than 25 characters.

Steps

  1. Create a provincial bill. Depending on your workflow, you can create bills from an encounter, a patient's chart or the Visits dashboard.

  2. Use Alberta billing codes when creating a bill for an out-of-province patient. Make sure the payment issuer (or template) is set to Alberta Health Care Insurance Plan. See Adding billing items (service codes) to your provincial bills for more information.

  3. We recommend adding a comment in the billing item for AHCIP to read:

    1. Select Show Advanced Fields and then Edit Supporting Text.

    2. Type in the yellow Supporting Text box that appears, e.g out-of-province patient.

    3. Click Update.

  4. Change the status of the bill to Ready To Submit and save the bill.

Updated June 29, 2022

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