ABPhysCode is an assistive billing decision support tool for Alberta physicians and authorized billing professionals.
ABPhysCode provides AI-assisted billing suggestions based on structured Alberta billing logic and contextual interpretation of your de-identified input. It is designed to improve speed and consistency, but outputs may be incomplete or incorrect in complex cases. Final billing decisions must be verified against current official references and your documentation.
ABPhysCode covers 2,403 Alberta SOMB billing codes across 19 specialties, including modifiers, governing rules (GR 1-18), GR 6.9.7 multi-procedure adjustments, and companion code relationships.
Current coverage includes Emergency Medicine, General Surgery, Internal Medicine, OB/GYN, Psychiatry, Anaesthesia, Orthopaedics, Urology, Dermatology, Ophthalmology, Otolaryngology, Neurology, Paediatrics, Plastic Surgery, Cardiac Surgery, Neurosurgery, Thoracic Surgery, Vascular Surgery, and General Practice.
Recommendations are generated using Alberta-focused billing structure (codes, rule relationships, exclusions, and modifier context). ABPhysCode is a decision-support layer, not an official adjudication system. Always confirm final choices against current authoritative sources.
ABPhysCode can help by surfacing caveats, exclusions, and documentation prompts that are often missed. It does not eliminate audit risk and does not guarantee outcomes. Audit defensibility still depends on physician judgment and chart quality.
Use de-identified text only. Do not include patient identifiers (name, PHN, full DOB, address, phone, email). ABPhysCode is designed for privacy-conscious workflows and data minimization.
ABPhysCode is designed to support privacy-conscious use and data minimization. Users remain responsible for their own legal and professional obligations under PHIA, PIPEDA, and applicable standards in their practice setting.
No. ABPhysCode is an independent product by Alberta Coding Company Inc. It is not affiliated with AMA, AHS, or Alberta Health. Always verify recommendations against official references.
No. ABPhysCode does not replace official sources. It helps you move faster with structured suggestions and caveats; official references remain the source of truth.
No. ABPhysCode is assistive decision support only. Final billing decisions and claim submission remain with the physician and/or authorized billing professional.