Alberta Rejection Codes
39FA - AMOUNT CLAIMED/USE CLAIMED AMOUNT INDICATOR: Your claim was refused as: (a) the amount claimed is blank. Claims for unlisted procedures (HSCs in ...
Tue, 21 Mar, 2023 at 3:37 PM
63A - SCHEDULE OF BENEFITS: Payment for your claim was reduced or refused in accordance with the applicable benefits schedule. To view the benefits schedul...
Tue, 21 Mar, 2023 at 3:38 PM
80G - OUT DATED CLAIMS: Payment was refused as the time limit for submission has expired. Please note, Effective March 31, 2020, the time limit for pr...
Tue, 21 Mar, 2023 at 3:39 PM
05A - Invalid Personal Health Number: Review for typos. If it looks correct, check to see if it is an out of province health card and the claim wasn’t ...
Mon, 10 Apr, 2023 at 2:54 PM
37 - Business Arrangement: The BA number is: (a) invalid or blank or (b) restricted to performing specific services or (c) restricted to performing servi...
Tue, 21 Mar, 2023 at 3:51 PM
37A - PRACTITIONER IDENTIFIER: The PRAC ID is blank, invalid or not effective for the date of service: Make sure your Practitioner ID is entered corre...
Tue, 21 Mar, 2023 at 4:00 PM
31 - Incomplete Person Data: This is often on Out of Province (OOP) claim where some of the patient demographic information is missing. Alberta OOP clai...
Thu, 27 Apr, 2023 at 12:59 PM
11 - Locum Business Arrangement: When creating an invoice, under the ‘Advanced’ tab, there is a field for the “Locum Business Arrangement”. All locum ...
Tue, 21 Mar, 2023 at 3:56 PM
39 - DATE OF SERVICE: The date of service is: (a) invalid or blank or (b) more than one year from date of birth (newborn) or (c) in conflict with the expl...
Tue, 21 Mar, 2023 at 3:58 PM
37B - SKILL CODE: The skill code is invalid or blank: You may be trying to bill for a code outside your skill type. The skill in your provider record ...
Tue, 21 Mar, 2023 at 3:59 PM