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Massage therapyuser guideonlineclaimssubmission. convenient service, deliveredthrough an easy-to-use secure web r 2013
Massage therapyprovider user guideonline claims submissionAlberta Blue Cross is pleased to offer online claimssubmission for massage therapy providers. Thisconvenient service is delivered through an easy-to-usesecure web site, and is available at no cost to massagetherapy providers across Alberta.Online submission provides the convenience of directbilling for eligible services for your customers withcoverage through Alberta Blue Cross benefit plans andASEBP. You are assured of prompt payment directly fromAlberta Blue Cross, while retaining existing customers andgaining a competitive advantage over providers who maychoose not to submit claims online.When submitting claims online, this service willpredetermine the patient’s coverage and confirm: the amount Alberta Blue Cross will pay to your office,and the amount you will need to collect from the patient.Registering for site accessprovided on your registration form. Once you havereceived both of these e-mails, you can begin servingyour customers through online claims submission.Getting started onlinePlease refer to the information in the e-mails AlbertaBlue Cross sends you when your initial registration isapproved. These e-mails will contain your login ID andtemporary password. Navigate to the Massage therapyProvider Online Services web site at:http://provider.ab.bluecross.ca/health and enter thelogin ID and password in the applicable fields.You will be asked to agree to the Web Site Policy andOnline Billing Agreement, set up your two “ReminderQuestions”, and change your temporary password. Thisinformation will be used to verify your identity if youforget your password or require information about youraccount. Subsequent sign-ins will only require your loginID and password.To register for online submission, please complete theRequest for Secure Web Site Access form. If you wantpayments to be deposited directly into your bankaccount, please complete the Application for DirectDeposit of Funds form. These forms can be accessedthrough our public web site at www.ab.bluecross.ca.From the quick finder, select “massage therapyproviders” to go to the page.Please mail or fax your completed form to:Health Services Provider Relations, Alberta Blue Cross10009 – 108th Street, Edmonton, AB T5J 3C5Fax: 780-498-3544The Health Services Provider Relations team at AlbertaBlue Cross will create your web site access based onyour completed registration form. To protect yoursecurity, a login ID and temporary password will besent in two separate e-mails to the e-mail addresshttp://provider.ab.bluecross.ca/health 1
Claiming onlineis quick, easy,and secure!Claiming online is quick, easy, and secure! Ask the patient to show their card, and enter their coverage information. Enter the details of the service to predetermine the coverage available.Within seconds of submission, results are displayed. Communicate the results to the patient. The patient will be required topay only the portion not covered under their benefit plan. Submit the claim.The transaction is then complete.2 http://provider.ab.bluecross.ca/health
Easy steps tosubmit and process a claimSteps for online submission1This feature allows you to enter asingle service date or multiple servicedates in a single document.Start entering the claim:When entering claims, youhave the option of submittinga single service date or multipleservice date claims. Please note thatif you choose “Multiple service dateclaims”, you can enter currrent orpast service dates that have notbeen previously submitted. You willnot be able to enter future dates.You have up to 30 days to submitthe claim online from the date itwas incurred.http://provider.ab.bluecross.ca/health 3
2Enter the patient’sinformation: Navigate tothe “Enter claim” menu optionand enter the patient’s ID numberand group number exactly as theyappear on their Alberta Blue Crossor ASEBP identification card. Askthe patient for his or her date ofbirth, enter the date and click the“Search” button.Note: Any dates, such as service orbirth dates, can be entered eitherwith or without a slash betweennumbers. The system will acceptboth formats. This applies to allscreens.3Verify whether patient hasCoordination of Benefits:Confirm if the patient hasother active coverage and if paymenthas been made by another benefitcarrier or provincial plan.If “Yes”,and the patient hasactive coverage withanother insurancecompany, continue tothe COB section onpage 7.4 http://provider.ab.bluecross.ca/health
4Enter details: Select aservice, and enter yourtotal cost for the serviceand the practicing massage therapistname, then click “Add claim.” Repeatthese steps for each service beingconsidered.Claim information: Ask thepatient the question in the “ClaimInformation” box and enter a servicedate. When you are satisfied withthe details you have entered, clickthe “Predetermine” button.Please refer to article 4.4 in yourMassage therapy Provider OnlineDirect Bill Agreement for moreinformation regarding the servicedate.Note: There may be somecircumstances when a claim cannotbe processed electronically.You will receive a notification on thisscreen and these claims will haveto be submitted manually by thepatient to Alberta Blue Cross.5Predetermine: This isa simple inquiry intothe patient’s benefit plan(s) todetermine the coverage available.You can click “Modify” to go backto step 2, “Cancel” to exit withoutsaving, or “Process claim” to submitthe claim online to Alberta BlueCross for immediate processing.http://provider.ab.bluecross.ca/health 5
6Process claim: You willreceive a confirmation fromAlberta Blue Cross within seconds ofyour submission.A printable copy of the patient’sClaim Statement is displayed. Clickthe “Print” command on the screen.Print summary: You must providethe patient with a printed copy ofthe Claim Statement.7Print summary: You mustprovide the patient with aprinted copy of the ClaimStatement.6 http://provider.ab.bluecross.ca/health
Steps for claims with Coordination of Benefits (COB)between Alberta Blue Cross and another insurance company1Enter details: Click “yes”if a portion of this claimhas already been paid by anotherinsurer and if you would like tosubmit the remaining amount tothis plan.2Enter the amount paidby the other insurancecompany for each claimline. If payments have been madeby two or more other insurancecompanies, combine the amountpaid and enter one total for eachclaim line.http://provider.ab.bluecross.ca/health 7
Repeat the same process until alllines have been entered, then click“Predetermine.”3Process claim: You willreceive a confirmation fromAlberta Blue Cross withinseconds of your submission.A printable copy of the patient’sClaim Statement is displayed. Clickthe “Print” command on the screen.8 http://provider.ab.bluecross.ca/health
4Print summary: Youmust provide thepatient with a printedcopy of the lth 9
Reporting information1Reports: This screen allowsyou to pull up all claimswaiting to be paid, history of settledclaims, and individual statements.2Outstanding PaymentReport: Alberta Blue Crosswill make payments to youroffice once every two weeks. TheOutstanding Payment Report lists alltransactions that are remaining tobe paid. Once the transactions havebeen paid, they will be removedfrom this report and appear on thePayment History Report.10 http://provider.ab.bluecross.ca/health
3Payment History Report:Enter a start date and anend date for the claiminformation you wish to display(these dates must be within theprevious six months). All transactionsthat have been paid by AlbertaBlue Cross to your office within thespecified time are listed on a printerfriendly screen. Statement IDs anddocument numbers are includedfor your reference, as well as detailsabout each patient’s claim.Note: To cancel or change asubmitted claim, please e-mailhealthinq@ab.bluecross.ca with thepatient name and claim details.http://provider.ab.bluecross.ca/health 11
Technical informationRecommended hardwareand software Using the Massage Therapist Provider Online Services website, an Internet connection, and your browser, you can submitclaims online at your convenience.You are responsible for your login ID and password. They areintended for your office’s use only.Most computer systems today have everything required to usethis web site successfully. To avoid surprises, make sure yoursystem includes the following: An Internet browser capable of interpreting 128-bitencryption. Only Internet Explorer versions 6.0 and later and Firefoxversion 1.5 or later are currently supported by Alberta BlueCross. To check your browser version go to the help menuand select the item starting with “About.”We’re serious aboutprivacy and securityThe confidentiality of your records is very important—to you, and to us. Weprotect your information in various ways, including: encrypting all information; securely delivering your login ID and password; denying access to web site users after five consecutive unsuccessfulsign-in attempts; automatically signing site users out after 30 minutes of inactivity; and requiring written authorization before granting access to the MassageTherapist Provider Online Services web site.12 http://provider.ab.bluecross.ca/health
Contact usContact Alberta Blue CrossHealth Services Provider Relations at 780-498-8083 (Edmonton and area), toll free at1-800-588-1195 (all other areas), or e-mail at healthinq@ab.bluecross.cafor more information about access to theMassage Therapy Provider Online Services web site.http://provider.ab.bluecross.ca/healthThe online claims submission system isavailable from Monday to Sunday,8 a.m. to 9:30 p.m. Mountain Time.Our regular office hours are Monday to Friday,8:30 a.m. to 5 p.m. Mountain Time. The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABCBenefits Corporation for use in operating the Alberta Blue Cross Plan. ABC 82666massage guide (R2013/09)
Massage Therapy Provider Online Services web site. Contact us The Blue Cross symbol and name are registered marks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans. Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan. ABC 82666massage_guide (R2013/09)
