Provider Portal User Guide

Welcome to Your Provider Portal!

At Saskatchewan Blue Cross, we are committed to supporting healthcare providers with an efficient and seamless online claims experience. The Provider Portal is designed to simplify your workflow, offering intuitive navigation and a range of features to help you manage claims, verify coverage, and streamline administrative tasks.

This comprehensive guide will walk you through the portal’s key functionalities and best practices to ensure a smooth and efficient experience. Whether you're submitting claims, managing payment details, or updating provider information, this resource is designed to support your needs.

Let’s get started!

NEW Provider Portal Webinar and Demonstration

Provider Portal Demo: 4:14

Pre-register for the NEW Provider Claims Portal

If you received notice that you've been pre-registered for the NEW Provider Claims Portal and your account is ready to be claimed, please click here.

To get started, enter your NEW Provider ID as your Username, verify your identity by providing your username for the existing Provider Claims Portal, and set a password.

Once your pre-registered account has been claimed, login and accept the Electronic Claims Submission Agreement. You are now set to begin submitting claims under the NEW Provider Claims Portal starting March 4, 2025. 

Out of province providers will need to register for the new portal to submit claims for members. Continue to use your current Provider Portal to submit claims for Medavie Blue Cross, Veterans Affairs Canada, RCMP and Canadian Armed Forces.

Home (Dashboard)

Your Home screen, or Dashboard, includes quick access features that help manage member claims and stay up to date with Saskatchewan Blue Cross. With user-friendly navigation, managing your clients has never been easier.

1. Top Menu Bar: Access the functions available within your Provider portal.

2. Message Centre: Serves as a central hub for key provider actions and resources. Users can quickly access important links to register a new provider account or add a new location with ease. Additionally, this section provides direct access to the Provider Portal User Guide, offering valuable support materials and instructions to help navigate the portal efficiently. This ensures providers have the tools they need right at their fingertips, enhancing usability and streamlining essential processes.

3. Quick Actions: Access the tools available within your Provider portal.

4. Provider Selection: For provider offices with multiple practitioners, the portal facilitates easy navigation for front-desk and administrative teams, enabling them to switch between the various registered providers. To select a different provider, simply click the drop-down menu to choose from the Saskatchewan Blue Cross registered partnering providers.

5. Billing Agreement: When you log in to the provider portal for the first time, you will need to complete the billing agreement. Click 'Billing Agreement" to view, save, or print the billing agreement, and please keep a copy for your records.

Claims

Within the claim's functions of the portal, providers can manage their clients' claims and even process reversals, all at their fingertips! See the process guides below for step-by-step instructions.

Submit a Claim

This guide offers a step-by-step process for submitting claims accurately, which is essential to avoid errors and processing delays. It emphasizes the importance of verifying practitioner details and patient information, ensuring a smooth submission experience.

Claim History

By following these instructions, users can efficiently retrieve important claims information and documentation, enhancing their workflow and ensuring accurate record-keeping. Whether for personal reference or administrative purposes, this guide simplifies the process, saving time and reducing frustration.

Reverse Claim

This guide is essential for anyone needing to reverse a claim efficiently. Users can navigate the reversal process, understand the implications of claim statuses, and avoid potential errors.

Links

The "LINKS" tab provides quick and efficient access to the Provider Information Page on the Saskatchewan Blue Cross website, directly from your Provider Portal.

Documents

This guide provides a straightforward method for accessing your Explanation of Benefits (EOB) documents, ensuring you can easily view, print, or save important health insurance information.

Documents

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Contact Us

Select "CONTACT US" from the top menu bar to access the inquiry form. Complete the form to send a direct message to our Provider Support team.

My Account

Select "My Account" to access the following features:

• Billing Agreement: View, save, and print your completed billing agreement for your records.

• Update Profile: Update your provider information such as Business name, Contact Information, License Number etc., directly within the portal and submit it to our office for review and processing. Updates will be completed within 2 business days.

• Log Out: Manually log out of the portal, or the system will automatically log you out after 20 minutes of inactivity.

Register a NEW Location or Provider Account

By following the steps in the guide below, providers can easily register new locations or providers within an office, choose payment preferences, and expedite their payment method to weekly direct deposits instead of bi-weekly cheques.

Register a NEW Location or Provider Account

Bluecross

Provider Payments

Payments are issued according to the following schedule:

• Direct Deposit: Provider payments are processed weekly.

• Cheque: If direct deposit information has not been provided, payments will be issued via cheque on a bi-weekly basis.

If you have not received your payment within the expected timeframe, please verify your payment method and allow for standard processing times.

Frequently Asked Questions (FAQ)

We’ve put together this FAQ document to help you navigate recent updates and key processes related to claims submission, payments, and portal enhancements.

For full details, access the complete FAQ document below.