Online claim submission—Optical
Register or make changes to your account
If you are a provider and you have not registered for web site access, please complete the four steps described below.
Click on the links below to open the registration and direct deposit forms.
Tip: both PDF forms have fillable fields, so you can type in your information before printing.
After printing the forms, check them carefully, then sign and date them.
Mail or fax your completed forms to
Alberta Blue Cross
Health Services Provider Relations
Edmonton, AB T5J 3C5
(Edmonton and area)
Once approved, we will email a login ID and password to you.
Make changes to your existing account
Please complete the Request for Changes form under the following circumstances:
- You have changes to report (for example, you’ve had an address, phone number, e-mail change). Please indicate what change has been made under “details of change requested” at the top of the form.
- You wish to switch to single sign on. Please note: single sign on only applies to offices with multiple provider practices. It allows providers to use a single login ID password to submit claims for products belonging to multiple provider types.