Set up in ten minutes. Submit your first claims on Thursday.
Meritum is built around the way Alberta physicians already work. You configure your billing profile once, capture claims during your clinical day, and the platform handles rules checking, submission, and reconciliation on the weekly Thursday cycle. Nothing about your clinical workflow needs to change.
Four steps. Ten minutes. Everything you need is already in your wallet or your head.
Step 1: Professional profile
Your AHCIP billing number, CPSA registration number, specialty, and physician type. The platform validates each field as you enter it, so if something doesn't match the expected format, you'll know before you move on. This is the information that configures your rules engine: your specialty determines which governing rules apply to your claims, and your physician type sets your billing context for fee schedule lookups.
Step 2: Business arrangement(s)
Your business arrangement number tells Alberta Health where to route your payments. Most physicians have one BA number; if you bill under PCPCM as well as fee-for-service, the setup walks you through adding both. The platform enforces the dual-BA requirement for PCPCM physicians, so the configuration is correct from the start rather than something you discover is wrong after your first submission.
Step 3: Practice location(s)
Your practice name, functional centre code, and address. When you enter your location, the platform looks up your community code and determines your RRNP eligibility automatically. If you're eligible for rural and remote premiums, they'll be applied to every qualifying claim without any additional configuration. You can add multiple locations if you work across sites or do locum shifts; each location carries its own functional centre and RRNP status, and you select the applicable location when you create a claim.
Step 4: WCB configuration
If you bill WCB Alberta, select your contract type from the dropdown. The platform auto-populates your permitted role codes and form types based on the WCB matrix, so you're working from the correct set of options from day one. If you hold multiple WCB contracts (for example, GP and occupational injury), you can add each one. If you don't bill WCB, skip this step entirely.
That's it. No training call, no implementation project, no six-week rollout. Once your profile is complete, your rules engine is configured and you can start entering claims immediately.
If someone else helps manage your billing, you can invite them as a delegate with controlled permissions. They see only what you choose to share.
Meritum fits into your clinical day. It doesn't replace it.
The goal is to capture claims with as little disruption to patient care as possible. How that looks depends on how you work.
If you use an EMR: import your encounters
Export your encounters from your EMR system and import the file into Meritum. The platform reads the encounter data, maps it to AHCIP service codes, and queues the claims for rules checking. You review anything that needs attention; clean claims are cleared for the next Thursday submission.
At launch, EMR integration works through file exports from systems like Med Access, Wolf Medical, and Accuro. You export from your EMR and import into Meritum. File import is a significant improvement over manual re-entry, and direct API integration with EMR vendors is on the roadmap.
However your claims enter the system, they all end up in the same place: queued, validated, and ready for Thursday.
Alberta Health processes fee-for-service claims on a weekly Thursday cycle. Meritum is built around it.
Before submission: the rules engine
Every claim queued for submission is checked against the applicable AHCIP governing rules before it leaves the platform. This is not a spell-check or a format validator; it's the governing rules themselves, encoded and applied to your specific claim context.
- Modifier eligibility based on your specialty and the service provided
- Time-period requirements for after-hours premiums
- Duplicate claim detection across your submission history
- Age-based benefits, such as the 30% paediatric premium on eligible diagnostic radiology codes for patients 12 and under
- RRNP premium calculation from your practice location and community code
- Business arrangement type cross-referencing for correct claim routing
Claims that pass every applicable rule are cleared for submission. Claims with issues are flagged for your review, with the specific rule and the reason it was triggered, so you can correct and resubmit before Thursday rather than finding out weeks later from an assessment.
Before submission: the advice engine
After the rules engine clears a claim, the advice engine looks at what you may have missed. It identifies codes and modifiers that are eligible based on the service you provided but weren't included in the claim, and it analyses your billing patterns over time to surface revenue recovery opportunities you might not spot on your own.
The advice engine doesn't change your claims or add codes automatically. It surfaces suggestions for your review: you decide what to act on. The goal is to ensure that the revenue you're entitled to is the revenue you're actually claiming, particularly for the kinds of modifiers and premiums that fall through the cracks after a long day or a busy week.
Submission: your level of oversight
You choose how much control you want over the final submission step. Meritum offers three modes, and you can change your preference at any time:
Approve everything
Every claim requires your sign-off before it goes out. Full control, no surprises.
Auto-submit clean claims
Claims that pass every rule are submitted automatically on Thursday. Claims with flags or advice engine suggestions are held for your review.
Auto-submit all
The platform submits your entire validated batch on Thursday without intervention. You review assessments after the fact.
Most physicians start with auto-submit clean claims and move to full auto-submit once they're comfortable with the rules engine's accuracy. The point is that the choice is yours; the platform doesn't decide how much oversight you need.
Thursday: submission via H-Link
Your validated claims are submitted to Alberta Health via H-Link on the Thursday cycle. There is no manual batching, no last-minute file assembly, and no deadline scramble. The platform handles the submission mechanics; you've already done your part by reviewing (or choosing to auto-approve) your claims earlier in the week.
Submission is not the finish line. Knowing what happened to your claims is.
Assessment matching
When Alberta Health returns assessments, Meritum matches them to your submitted claims automatically. Your dashboard shows the status of every claim: paid, held for review, or refused. No manual reconciliation, no spreadsheet cross-referencing, and no waiting for your agent to call you back.
Rejection analytics
Refusal codes are translated into plain language so you can understand what happened and act on it immediately. More importantly, the platform tracks your rejection patterns over time. If the same rule is catching you repeatedly, you'll see it as a pattern rather than a series of isolated incidents, which means you can fix the underlying issue rather than correcting the same claim type every cycle.
PCPCM reconciliation
If you're enrolled in PCPCM, Meritum tracks your panel enrolment and reconciles your capitation payments as a separate billing stream from fee-for-service. Panel changes, payment amounts, and reconciliation status are all visible in your dashboard alongside your FFS claim data, so you have a complete picture of your billing across both payment models.
Your patients. Your clinical judgement. Your workflow. Meritum handles the billing; everything else stays the same.
You don't change EMRs. You don't change how you see patients. You don't attend a training session or block out an afternoon for onboarding. The learning curve is closer to switching pharmacies than switching software systems: the first week takes a little attention, and after that it's just how you bill.
If someone else currently manages your billing, you can invite them as a delegate with controlled permissions. They see only what you choose to share, and you can revoke access at any time. The transition doesn't require you to do everything yourself; it requires you to own the process.
Ten minutes to set up. Thursday to see it work.
Everything included, cancel anytime, and your data is always yours.
Plus 5% GST. Cancel anytime.