Member Portal - Submitting claims

This guide gives you simple, step-by-step instructions to help you submit claims easily through the Member Portal. By following it, you’ll include all the right details and documents, making the process smoother and helping you get the most from your benefits.

4 minutes

Bluecross

Click **“SUBMIT A CLAIM”** from either: 1. The **“CLAIMS”** menu option, or 2. The **“Quick Actions”** section on the dashboard.

Choose the **corresponding benefit type** for the claim you are submitting from the available list.

**Complete Claim Details** 1. **Are these expenses a result of a motor vehicle or workplace injury?**\ Indicate if the expenses are related to a motor vehicle or workplace injury. This helps determine if the claim needs coordination with a government program such as SGI (Saskatchewan Government Insurance) or WCB (Workers’ Compensation Board). 2. **Date of Service**\ Enter the date the service was received or the item was purchased. - For services spanning multiple days (e.g., a hospital stay), enter the **first date** shown on the claim. **Enter Total Cost**\ Input the **total billed amount**, including taxes. 3. **Has this claim been submitted to another policy or government program you coordinate with?**\ Indicate whether this claim has already been submitted to another insurance policy or government program. > **Important:** If you have other coverage set up (Coordination of Benefits), select **“Yes”** — even if the other insurer **did not pay** for the claim. You’ll be able to enter **$0** if no payment was made. > > Selecting **“No”** in this case will result in the claim being **denied**, as it must first be submitted to the other insurer. Once all general **Claim Details** have been completed and reviewed, click **“NEXT”** to continue.

**Complete Additional Claim Details** 1. **What is the claim for?** - Select the appropriate **benefit type** from the coverage list. - **Who is this for?** Select the member who received the service or for whom the item was purchased. 2. **If your plan requires a physician referral to be covered, do you have a referral to submit with this claim?** - Indicate whether you are including a referral letter with the claim. Once all required information is entered, click **“NEXT”** to proceed.

**Select or Add Provider** If the item or service has a corresponding provider, select the provider from the list or search to add them. 1. **Recent Providers** - Providers used in previous claim submissions will appear for quick selection. 2. **Add a New Provider** - If the provider isn’t listed, search by **name, city, and province** to add them.

**Select Provider from Search Results** If you searched for a provider, the system will display all providers matching your search criteria. - When the desired provider appears in the search results, select them from the list to add to your claim.

**Add a Provider Not Listed** 1. If the desired provider is not shown in the search results, click **“PROVIDER NOT LISTED?”** to manually add their information. 2. Enter the provider details as shown on the receipt, then click **“NEXT”**: - **Full Name:** Full name of the provider - **Address / City / Province:** Street address, city, and province - **Phone Number:** Provider’s phone number

If the selected benefit includes a **type of service** distinction, choose the appropriate service from the dropdown list, then click **“NEXT”** to continue.

**Update Other Insurance Coverage (if applicable)** If you have other insurance coverage and need to update this information with Saskatchewan Blue Cross, complete the **Other Coverage** section: - **Name of Insurance Company:** Name of the other insurance carrier - **Member Name:** Policyholder or employee on the plan - **Date of Birth:** Policyholder’s date of birth - **Plan Number:** Policy or plan number - **ID Number:** Policyholder’s identification number - **Effective Date:** Initial date the plan began (not the benefit renewal date) - **Type of Coverage?:** Indicate if the plan is through employment, retirement, or a private plan - **Benefits:** Select all benefits held under the other plan - **Cancellation Date:** Date the coverage ended (if applicable) - **Name of Insurance Company:** If the canceled plan is different from the one listed above, provide its name After entering all relevant coordination of benefits details, click **“NEXT”** to continue.

To complete the claim submission, copies of the claim documents will need to be attached. 1. unsure which documents to include with your claims? Click the **"What documents do I need to submit?"** for guidence 2. Select "ADD DOCUMENTS" or drag and drop the claim document files into the upload area. Document requirements: - Up to **10 files** can be attached in a submission - Files must not exceed a combined total size of **25 MB** - Acceptable file types include: **BMP, JPG, JPEG, PNG, and PDF**

**Review and Submit Documents** - Once a document is attached, the system will display its **file name**, **size**, and an option to **remove** it if needed. - If you need to add more documents, repeat the previous step until all required files are attached When all necessary documents have been added, click **“SUBMIT”** to complete your claim submission.

**After you submit your claim, a confirmation message** will appear at the top of the screen stating: *“Thank you for submitting your claim.”* This confirms that your submission is complete. You’ll also receive a **confirmation email** sent to the address associated with your account.

Member Portal - Submitting claims

4 minutes

Bluecross

Click **“SUBMIT A CLAIM”** from either: 1. The **“CLAIMS”** menu option, or 2. The **“Quick Actions”** section on the dashboard.

Choose the **corresponding benefit type** for the claim you are submitting from the available list.

If the selected benefit includes a **type of service** distinction, choose the appropriate service from the dropdown list, then click **“NEXT”** to continue.