01
Pick the specialty
The specialty sets the relevant services, modifiers, exclusions and written rules.
Written Alberta billing rules applied to one encounter
VitalisBill turns entered care details into claim lines the physician can inspect, with each decision tied to the active provincial Schedule.
What it is built on
Alberta is live. British Columbia and Ontario remain in development and are not yet available.
Alberta, live
Published by Alberta Health under the Alberta Health Care Insurance Plan, April 2026 edition
- Schedule of Medical Benefits, Medical Price List
- Schedule of Medical Benefits, Medical Procedure List
- Medical Governing Rules
- Fee Modifier Definitions
- Explanatory Codes
- The Alberta Health diagnostic code list, ICD-9
In development
British Columbia: the MSC Payment Schedule. Not yet available.
Ontario: the OHIP Schedule of Benefits for Physician Services. Not yet available.
Every fee, rule and modifier comes from those documents and nowhere else. No fee is estimated and no rule is inferred.
Every claim line points back to the page or the general rule it came from, so a physician answering a query has the reasoning in front of them.
The Schedule is reissued each April and amended through the year. Keeping the rules current against those documents is what the subscription pays for.
Encounter intake
02
Patient and setting
Enter only the age and care setting facts that can affect eligibility.
03
Reason for the visit
Choose the diagnostic code that reflects the encounter. Diagnosis text stays in the browser.
04
What you did
Record the visit type, time and assessment details that can change the billing result.
05
Procedures and services
Add procedures, interpretations, conferences, calls and other completed services.
06
Also today
Capture same-date work so the engine can check combinations, conflicts and supporting evidence.
Deterministic claim logic
The engine applies written conditions, so the same entered facts produce the same claim. Every line cites the Schedule page or general rule behind it.
Hard stops, cautions and notes
Hard stops refuse combinations the written rules do not support. Cautions continue for physician review, and notes identify the chart evidence a supported line needs.
Included-service hard stop
When one entered service is included in another service claimed for the same encounter, the included line is refused and the applicable Schedule rule is shown.
Product boundaries
Claim submission
VitalisBill prepares decision support. Claims continue through the clinic's existing billing workflow.
EMR connection
No integration is required. Clinical details and the draft note remain in the physician's browser.
Physician review
The physician reviews every suggestion, refusal and chart entry.
One encounter against the April 2026 Schedule
Review the claim lines, cautions and chart evidence produced from the facts entered.