Explanatory Code: 06
RETROACTIVE ELIGIBILITY CHANGE
Your request to change or reassess this claim was refused. Due to a retroactive eligibility change, the patient is not eligible for AHCIP coverage for this date of service.
AMA billing recovery tip:
This means that the effective date for the coverage for the patient has changed for the date of service that the claim was submitted. Please confirm dates of service, if the date on the claim is correct and is no longer a date that the patient is eligible for coverage, contact Alberta Health for further information. 780.415.2288, have your original claim number available at the time of the call.