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Shadow billing for provincial claims (Alberta)

Shadow billing for provincial claims (Alberta)

Updated over a week ago

If a provider is salaried or paid through an alternative payment plan, and they shadow bill Alberta Health Services (AHS) for services, the provider’s CHR user account must be set up for shadow billing.

To set up a provider’s user account for shadow billing, contact the TELUS Health Support team through the in-app support bubble and provide them with the provider’s Alternative Relationship Plan (ARP) Business Arrangement (BA) number.

Fee items submitted using your ARP BA number and assessed by Alberta Health Services (AHS) without refusal or explanation codes automatically update to Paid status at $0.00, streamlining the billing reconciliation process.

Steps

  1. Create a bill 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. In the billing payment details section, select your ARP number from the list under Business Arrangement #.

  3. Add the fee items and complete the bill as you normally would.

  4. Change the bill status to Ready To Submit.

  5. Click Save to submit the claim to AHS with your ARP number.

📌 Note: To set your ARP number as the default when you create a bill, list your ARP BA number first in the BA numbers in Public Billing Providers.

If the claim is assessed by Alberta Health Services (AHS) without refusal or explanation codes, the insured bill status automatically updates to Paid. If the claim is refused, refer to Managing refused or invalid bills (Alberta).

Updated April 11, 2025

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