Get Canada Wcb Alberta C568 2020-2026

The Canada WCB Alberta C568 form is essential for submitting medical care invoices for workers' compensation claims. This guide provides clear, step-by-step instructions to help users complete this form confidently and accurately.

Follow the steps to fill out the Canada WCB Alberta C568 online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the WCB claim number in the designated field; if you do not have the claim number, contact the WCB Claims Contact Centre to obtain it.
3. Fill in the personal health number of the worker, ensuring accuracy.
4. Provide the worker details, including surname, first name and initial, full address (street, city/town, province, postal code), gender, date of birth, and telephone number.
5. Specify the part of the body affected and the side of the body in the appropriate sections.
6. Indicate the date of service in the format yyyy/mm/dd.
7. Enter the appropriate health service code that corresponds to the service provided.
8. Fill in the date of referral and the name of the referring physician, if applicable.
9. Provide details regarding the date of the accident and the nature of the injury.
10. Include the diagnostic code, modifier, skill code, and details regarding calls and encounters.
11. List the fees submitted for each service and calculate the total amount billed in the respective section.
12. Complete the fields regarding billing number, contract ID, and the name and address to whom the fee is payable.
13. Add the provider's reference number and ensure your signature, printed name, and contact telephone/fax numbers are included.
14. Finally, review the information for accuracy, then save your changes, download, print, or share the completed form as necessary.

Take the first step now and start filling out your Canada WCB Alberta C568 form online.