You must be the main cardholder on your plan to submit claims. That means the main cardholder must submit claims on behalf of their spouse or dependents.
What types of claims can be submitted this way? Most benefits under your health and dental plan, including:
Health professional services
Virtual / online health care services
Dental care
Vision care
Drugs
Medical supplies and equipment
Health Coaching and Chronic Disease Management
Health Spending Account / Personal Wellness Account
Step 1. Make sure you have all the required documents.
Claiming requirements can vary based on the type of benefit and your particular plan. You can find specific claiming requirements for each benefit in the coverage section of the Blue Cross Mobile app or the Member Services Site, or in your benefits booklet.
• Receipt for your payment
• Prescription from a physician or other health professional
• Itemized statement describing all services rendered*
• Medical assessment/evaluation completed by health professional*
Claiming Requirements for Frequently Used Benefit Categories:
*In some cases, this information will be included on the receipt given to you by your health professional at the time of service. Otherwise, specialty forms for certain benefits are available for download and will need to be completed by your health professional.
Keep in mind that health services must be provided by a Medavie Blue Cross-approved health professional to be eligible for coverage. You can find an approved provider through the Blue Cross Mobile app, or use our online search tool to find one who offers ePay direct payment service.
Step 1. Make sure you have all the required documents.
Claiming requirements can vary based on the type of benefit and your particular plan. You can find specific claiming requirements for each benefit in the coverage section of the Blue Cross Mobile app or the Member Services Site, or in your benefits booklet.
• Receipt for your payment
• Prescription from a physician or other health professional
• Itemized statement describing all services rendered*
• Medical assessment/evaluation completed by health professional*
Claiming Requirements for Frequently Used Benefit Categories:
*In some cases, this information will be included on the receipt given to you by your health professional at the time of service. Otherwise, specialty forms for certain benefits are available for download and will need to be completed by your health professional.
Keep in mind that health services must be provided by a Medavie Blue Cross-approved health professional to be eligible for coverage. You can find an approved provider through the Blue Cross Mobile app, or use our online search tool to find one who offers ePay direct payment service.
Step 2. Submit the documents to us.
For the simplest process and quickest turnaround time, we encourage you to submit the documents using the Blue Cross Mobile app or the Members Services Site. Here’s how to do that:
Submitting a claim using Blue Cross Mobile
• If you haven’t already, download the app from the App Store or Google Play.
• Log in using the same email and password you use for the Member Services Site (or register for an account if this is your first time using our online tools).
• Tap ‘Submit a Claim’ on the app dashboard.
• Select your claim type. If you can’t find your claim type in the list, select ‘Other’ at the bottom of the list.
• You’ll be walked through a series of questions related to your claim. Depending on the type of claim you’re submitting, you may be asked to indicate your health professional. You can search for them by entering their last name and city. If you can’t find your health professional in our search results, you can enter the information manually.
• Use your device’s camera to take photos of all documents identified in step (1). Take one photo per document. If you already have photos or scans of your documents, you can attach them from your photo library. Tip: make sure your photo is clear and bright—blurry or dark photos can be difficult for us to read and may cause delays.
• If you haven’t already entered your bank account information for direct deposit of your reimbursement, you’ll be prompted to do so before submitting your claim.
• Hit ‘Submit’ and you’re done!
Submitting a claim using the Member Services Site
• Ensure you have photos or scans of all documents identified in step (1). You can submit them in a variety of formats—JPG, PDF, BMP and TIFF.
• Log in using the same email and password you use for the Blue Cross Mobile app (or register for an account if this is your first time using our online tools).
• Click on ‘Submit a Claim’ in the top menu bar.
• Answer the questions and ensure you’ve entered your bank account information for direct deposit of your reimbursement.
• Attach the photos or scans. You can attach multiple files to your submission.
• Agree to the terms and conditions by clicking the checkbox, then click ‘Submit’. You’re done!
Submitting a claim by mail
If you’re unable to use Blue Cross Mobile or the Member Services Site, you can submit all required documents identified in step (1) by mail to the address on your claim form. Please note that if you submit a claim by mail, you’ll be required to include a completed paper claim form.
You can download the relevant claim form here
