Payment was refused as Good Faith claims are not payable for visitors to Alberta or residents covered by the federal government, such as Canadian Forces members or federal penitentiary inmates. Refer to the applicable Resource Guide for information regarding billing alternatives.
Patients believed to be residents of AB or Canada who have claims rejected 01C may fall under a federal program. AH staff cannot remove the federal coverage tag associated with the PHN of the patient. The patient will have to register themselves at a registry site or in some cases with the support of a social worker to have the federal tag removed from their PHN.
You will have to verify coverage and PHN. You may consider reviewing claim history for this patient. If you are able to find the previous claim details, you can review the Statement of Assessment (if you still have it) for that time period, Alberta Health will indicate the PHN of a patient that has coverage and a PHN on the Statement of Assessment.
