Electronic Claims Submission

Services

Presented byProvider and ProfessionalRelations

www.medavie.bluecross.ca

Dedicated section forHealth Professionalson our website •Apply to become anapproved provider •Apply for access tosubmit claimselectronically •Download bulletins & provider guide

Login to E-claims

www.medavie.bluecross.caHealth Professionals section

Logon Page

• Enter the specialty• Enter the province• Enter the Blue Cross Provider

Number• Enter the password• Click on Logon Submit.

Change Password

• System will prompt to changethe password first timeprovider logs in.

Electronic Claims Submissionservices Agreement

• When a provider logs in for thefirst time he/she must read theE-Claims Agreement

• The system will stop anyfurther activity until theagreement has been read andaccepted

• Click on continue to see thenext screen.

Submit a Claim

• To submit a claimelectronically, the providermust click on Submit a Claim

Identification Form

• Enter the Policy ID of thesubscriber (should be 9 digitslong)

• Enter the Identification numberof the subscriber (should be 10digits long)

• Click on Continue

Patient Form

• Select the patient• Press on Continue.

Submission

• Choose the type of servicerendered i.e. Exam, framesand lenses or Contact lenses

• Click on Add

Submission

• Enter the date of service• The type of exam performed• Price• Click on Add

Pre-Determination Result

• At this point, the provider caneither modify the claim,process the claim or simplycancel the claim

Notification

• A window will pop up statingthe following: “I hereby certifythat I have the authority tosubmit claims on behalf of theprovider and certify that theclaims information is accurate.”

• Press OK to continue orCancel to review the claim

Claim Payment Result Screen

• Once the claim has beenadjudicated, a Claims PaymentResult Screen will be displayed

• This page can be used as anofficial receipt

• A copy must be printed andsigned by the patient and kepton file for 2 years