Claims for newborns

When a claim for initial assessment of newborn (03.05G) is submitted, it is billable once per patient. It is the only service that may be submitted to Alberta Health regardless of how many days the baby is in the hospital with the mother.

If the baby is born ill, a claim for daily care (03.03D) may be submitted to AH for the total number of days the patient required daily care.

If the baby is born well and suddenly becomes ill, and a claim for initial assessment of newborn has already been submitted, the 03.05G claim should be changed to 03.03D. Visits related to the illness should be submitted using HSC 03.03D until the patient is discharged.

If one physician has submitted the claim for initial assessment of newborn (03.05G) and another physician is performing daily visits on the baby (regardless if the baby is ill or not), no claim for daily visits may be submitted by the second physician.

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