63A - SCHEDULE OF BENEFITS:
Payment for your claim was reduced or refused in accordance with the applicable benefits schedule. To view the benefits schedules, go to the Alberta Health and Wellness website at Alberta Health Fee Schedule of Benefits
– This is a difficult one, usually there isn’t a direct way to diagnose this issue from looking at the data in your ClinicAid account. The ranges for this particular code can be quite broad, from the service code isn’t valid for your facility to the complex care code used is incorrect. The best solution for researching these particular issues is contacting the Alberta Claims and Assessment Office at 780.422.1600 or Health.HCIPAProviderClaims@gov.ab.ca
Here is how to fix common rejection codes: How to Fix Common Alberta Rejection Codes