Request website access and add a practitioner forms
You need to complete and submit a form for the following requests.
What would you like to do?
Request for secure website access
Request to add a practitioner to an existing account for online direct billing
Please submit the following practitioner information to us. Once the practitioner has been linked with your clinic, you’ll receive a confirmation email and you can then add them as a practitioner during time of claim entry. If you have any additional questions, please contact us directly at 1-800-588-1195.
Thank you for getting in touch with us.
Your request for access to the provider website has been successfully sent.
You will receive an email containing all the information needed to sign in to the website within 25 business days.
Once you have access to the secure website, sign in and enter your direct deposit information. This information is required before you can submit a claim.
Thank you for getting in touch with us.
Your request for information has been successfully sent to Alberta Blue Cross.