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 fields, so they can be filled in online 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
- 10009-108 Street
- Edmonton, AB T5J 3C5
- Fax: 780-498-3544
- (Edmonton and area)
Once approved, we will e-mail a Login ID and password to you.