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Pacific Blue Cross

Health/Vision Provider

What do you want to do?

Provider Location

Practitioner

General Inquiry

New Health Vision


Email Address Guidelines

  • Since a Primary Administrator has full access to view and change banking information, we discourage using a multi-user or communal email address, e.g. admin@ProviderClinic.ca.
  • Pacific Blue Cross Assumes or takes no responsibility for any consequences, directly or indirectly, that may arise from registering with a clinic/communal email address
  • Emails must be unique in PROVIDERnet

Role of PROVIDERnet Primary Administrator:

  • The Primary Administrator is usually the business owner or director
  • Self-serve access to set-up, change, view banking information for direct deposit for the business owner
  • Can view pre-authorizations, submit eligible claims, electronic statements

Role of PROVIDERnet Standard Administrator:

  • Can view pre-authorizations, submit eligible claims, view claims history
This is your PBC-assigned ID
Business Information
Updated Business Information
Add/Remove Practitioners
Personal email address of the practitioner only. CANNOT be the same as the PRIMARY ADMINISTRATOR email address for the clinic
Upload a copy (.pdf, .png, .gif, .jpg) of your Certification. Max 2MB.
Update Practitioner Name

Existing Name

Change To:

Regulatory Info

Additional Comments
Signature

Person filling in this application