Medical Billing Forms & Information
Alberta Health Forms
Daysheet Forms
AHC 913 form to be used to request a new business arrangement
number from Alberta health Care
AHC2096 form to be used to change an existing business
arrangement number to Logic Resources as the accredited submitter
Instructions for completing AHC forms 913 and 2096
PDF document listing Alberta Health Care rejection / explanation
codes for submitted claims
Pictoral representation and brief descriptions of the provincial health
cards
Daysheet fax form for use by medical practitioners
Daysheet fax form to be used by optometrists
Instructions for completing the daysheet fax forms
Description
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Sample daysheet showing some data entry options
Used for services that can not be billed through the medical
reciprocal billing process and by practitioners providing services to
residents from other parts of Canada.
Alberta Health Codes and Fee Files
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These forms open in a
new window. Please
close that window
when you are finished
to return here
Diagnostic codes common to Pyschiatry
Daysheet template for submitting claims using Excel worksheet
Fee codes common to Family Medicine
Fee codes common to Family Medicine - Obstetrics
Alberta Health Schedule of Medical Benefits - Procedure List
Alberta Health Schedule of Medical Benefits - Price List
Physician's Resource Guide 2011