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Online prescription drug claims in CARESnet

CARESnet service has expanded to include prescription drug claims.

What this means

If you normally mail or drop off prescription drug claims to Pacific Blue Cross, you will now have the option to submit them online. Average turnaround time for online claims is 2-3 days.

This does not replace pay-direct drug coverage. If your drug plan includes pay-direct, present your Pacific Blue Cross ID card to the pharmacist when filling your prescription. Eligible drug expenses and fees will be covered at point of sale.

Please refer to our Frequently Asked Questions page for more information on what types of drug claims are accepted online.

How to submit an online drug claim:

  1. Sign in to CARESnet using the Policy and ID numbers on your Pacific Blue Cross ID card
  2. Click Submit a claim in the Claims tab
  3. Choose Drugs button
  4. Enter the claim details
  5. Select the pharmacy or add pharmacy if it is not listed
  6. Confirm direct deposit information and submit the claim

Keep your original receipts. CARESnet randomly selects online claims for receipt verification and you may be asked to provide proof of purchase.

CARESnet accepts claims for the following services:

  • Prescription drugs
  • Physiotherapy
  • Massage therapy
  • Acupuncture
  • Chiropractic services
  • Naturopathy
  • Psychology
  • Podiatry
  • Vision care expenses
  • Monthly orthodontic treatments

Blue Shield

Blue Shield is a registered trade-mark of Blue Cross Blue Shield Association