Processing claims for National Blue Cross members
Effective October 17, 2022
Over the past several months, you may have received communication from various Blue Cross insurers about changes to the claiming process for our national members (less than 1% of all Blue Cross members). All changes will be complete as of October 17, 2022.
This change only applies to members with plans based outside your region who may have received a replacement card.
How to identify impacted Blue Cross members
Members impacted by this change have received communication and may have received a new member ID card (physical and/or digital). Some may also receive new policy and/or identification numbers. To ensure claims adjudicate correctly, please update your files.
They have also been advised to inform you of this change so that you can submit claims to the correct Blue Cross/3rd Party Claims Processor.
How to submit claims for National Blue Cross members
For Extended Health Benefits Claims
If the member has a replacement card, please submit the online claim to the applicable Blue Cross/3rd Party Claims Processor.
| Alberta Blue Cross | https://providerportal.telushealth.com/ | 1-800-588-1195 |
| Medavie Blue Cross | https://secure.medavie.bluecross.ca/pcp | 1-800-667-4511 |
| Manitoba Blue Cross | https://www.mb.bluecross.ca/mybluecross | 1-888-596-1032 ext:8856 |
| Saskatchewan Blue Cross | https://secure.medavie.bluecross.ca/pcp | 1-800-667-6853 |
| My PBC Benefits (Pacific Blue Cross) | Telus Adjudicare – https://www.adjudicare.net | 1-866-240-74 |
For Dental Benefits Claims
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For Pharmacy Benefits Claims
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What to do if a claim is rejected
Claims submitted to the incorrect Blue Cross will be rejected.
If you have a rejected claim from a Blue Cross member, you should ask to see their ID card and/or confirm their information on your system.
Have questions or need support?
Thank you for helping us support the health of our Blue Cross members! If you have any questions or need assistance, please contact us at 1-800-667-6853.