Claims Processing

Medavie Blue Cross has been in the business of electronic claims processing for over 20 years. We have sophisticated online adjudication systems with the capability and flexibility to handle a wide variety of program requirements. Currently we:

Medavie Blue Cross’s claims processing systems and administration expertise provide our clients with a streamlined process leading to trust and confidence in our service delivery.

Our claims processing system functionality includes:

Type of claims we process:

Our success:

We are proud of our strong government relationships that have existed throughout our history. Our government customers include various federal and provincial governments and agencies including:

Achievement in excellence

Medavie Blue Cross and our federal government partner received the National Award for Innovation and Excellence in Public Private Partnerships from the Canadian Council for the creation of the Federal Health Claims Processing System (FHCPS). This innovation in technology resulted in the delivery of a customized national claims processing system.

Our team of experts

Our Government Programs team is composed of individuals with highly developed expertise in the government environment and our operations are supported by an extensive group of professional health consultants, including physicians, pharmacists and nurses.