Alberta Health Medical Billing Forms
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Alberta Health Forms |
Description |
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AHC 11236 is used to request a new business arrangement number |
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Instructions for completing the AHC 11236 form |
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Used for services that cannot be billed through the medical reciprocal billing process and by practitioners providing services to patients from other parts of Canada (specifically Quebec) |
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Daysheet Forms |
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Daysheet form for fax/email submission of claims |
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Excel template for submitting claims by email |
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Contact Alberta Health |
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health.pracforms@gov.ab.ca. |
Inquiries involving practitioner IDs, BA numbers, copies of billing statements, or a physician changing their address |
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Health.HCIPAProviderClaims@gov.ab.ca |
Inquiries involving specific billing inquiries by physicians and investigating statements of account for members of the public |
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Health.HCIPAOOPOOC@gov.ab.ca. |
Inquiries involving out-of-province or out-of-country claims or medical services |
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health.HCIPAClaimsSpecialistTeam@gov.ab.ca. |
For WCB related inquiries |
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health.ahcipmail@gov.ab.ca |
For general, non-physician inquiries |
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