PROVIDERnet is an online website where health and vision providers can submit claims electronically to Pacific Blue Cross on behalf of their patients, excluding national Blue Cross plan members.

• Fast, easy and secure
• Reduced credit card fees
• Reduced reimbursement time
• Convenience of real-time submission
• Able to see results immediately
• View claims and statements online
• Client convenience and satisfaction
• Reduced administrative burden
• View online resources like the Reference Guide
• You will be searchable under our Insta-Claim Health providers, giving you a greater visibility and the potential to attract more patients.

PROVIDERnet allows you to submit electronic claims on
behalf of your clients. The system is real-time and provides
you with immediate claim results.

• Acupuncturists
• Chiropractors
• Massage therapists
• Naturopathic doctors
• Optical stores, Optometrists, Ophthalmologists
• Physiotherapists
• Podiatrists
• Psychologists
• Clinical Counselors**

**Registered Clinical Counselors must be a full active member of CCPA, BCACC, CPCA or ACCT.

Note: Practitioners must be registered with their regulatory
licensing body in BC.

Registration with Pacific Blue Cross takes a few minutes for
each practitioner. If you have multiple practitioners in your
office, it may take longer. Once approved, you will receive an
email confirmation with login information.

The Provider Office is the brick and mortar store
for your business. For example, ABC Optical Store or
123 Physiotherapy Clinic.

The Practitioner is the person who provides the service. For
example, Dr. John Smith ND or Jane Doe Physiotherapist.

This individual can be the practitioner, front desk individual
or office manager who works in the clinic. This individual is
responsible for setting up direct deposit and submitting the
electronic claims for themselves (practitioner) or on behalf
of the clinic (front desk/office manager).

The primary administrator is the only person who can view
and download claim statements and MUST have a separate
email address from the practitioner.

Yes. The email address for the Primary Administrator may
be the same as the Provider Office email, however the
Practitioner email must be different.

An email will be sent with the reason for the decline.

Yes, PROVIDERnet is real-time and the claim is adjudicated
immediately.

Yes, submit an electronic claim for them using PROVIDERnet
and then use the reverse function to reverse the claim.

Yes, claims can be reversed up to one year.

We recommend submitting the claim while the client is in
your office, at the time the service is provided. You have
up to one year from the date of service to submit a claim.
Coverage must be active to be eligible for payment.

Pacific Blue Cross follows the Canadian Life and Health
Insurance Association (CLHIA) guidelines for coordination
of benefits. For details, see Understanding Coordination Of Benefits.

A weekly email will be sent to the Provider Office email address when the claim statements are ready. Only the Primary Administrator can view and download claim statements.

Payments are made weekly through direct deposit into your business bank account once you have set up direct deposit in PROVIDERnet. Your bank may take up to three business days to deposit the payment into your account.