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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.

Step one

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.

Step two

After printing the forms, check them carefully, then sign and date them.

Step three

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)

Step 4

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.
Where to next?

Find providers who offer direct billing