To submit a claim that has been partially paid by another carrier or the government program:

• Respond "Yes" to the question: "Has a portion of this expense been paid by another policy or a government program?". This field is required even if the amount paid was zero.
• Enter the amount paid by the other plan(s) under "Other Plan(s) Paid", "Government Paid", or both, depending on who paid a portion of your claim. The amount entered should reflect what is shown on the Explanation of Benefits (EOB) provided by the other plan.

Click the Back button to go back to make any corrections. Ensure all information is correct before submitting your claim.

Only specialty claim forms are required.

Queued means your claim is being held for processing. This has happened because you have a claim in Audit status. When a claim is selected for audit, the system places a temporary hold on all subsequent claims. Once Manitoba Blue Cross receives the requested receipt(s) for your Audited claim, all Queued claims will be released for processing.

Claims are processed in the order in which they are received.

You may submit any claim as long as the expense:

• was incurred in Canada
• is payable to you
• is for you, or
• is for your spouse or dependents (provided they have already claimed through their primary plan, if applicable).

The claim limitation period indicates the deadline to submit health or dental claims for the prior benefit year and can vary based on your plan. Refer to the Claim Submission Deadline in Coverage.

*The health spending benefit has a separate limitation period.

Ensure the claim has been submitted under their primary plan first. Then, when adding an expense:

• Respond "Yes" to the question: "Has a portion of this expense been paid by another policy or a government program?". This field is required even if the amount paid was zero.
• Enter the amount paid by the other plan(s) under "Other Plan(s) Paid", "Government Paid", or both, depending on who paid a portion of your claim. The amount entered should reflect what is shown on the Explanation of Benefits (EOB) provided by the other plan.

To submit a claim that has been partially paid by another plan or government program, please upload your Explanation of Benefits or government statement along with your claim.

If the Total Paid Amount is $0.00, select "View this claim" to review claim details.

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To resolve an Audited claim, use Claim Search to find your claim and submit your receipt(s).

Important: If you prefer to mail your receipt(s), you must include the Reference Number of your audit, which you will find under Claim Details.

If your provider is not listed:

• Verify the name of the service provider entered matches the service provider shown on your receipt
• Try limiting your search to only one or two fields
• Try entering a partial name, using only some letters of each word per field

If you still cannot find your service provider, select "Can't find my provider" and upload your claim instead.

If a person is a member of more than one plan, the adjudication priority is as follows:

• The employer plan where the member is an active full-time employee
• The employer plan where the member is an active part-time employee
• The employer plan where the member is a retiree
• The individual plan that a member has purchased on their own
• The plan where the person is covered as a dependent

If your pharmacy is not listed:

• Verify the name of the pharmacy entered matches what is shown on your receipt (e.g.: Loblaws Pharmacy, Drugstore Pharmacy, etc.)
• Try limiting your search to only one or two fields
• Try entering a partial name, using only some letters of each word per field

If you still cannot find your pharmacy, select "Can't find your provider?" and upload your claim instead.

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To understand the reason for a partial payment, select "View this claim" to review claim details.

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If you do not submit receipts for an Audited claim, we will be unable to process that claim or any future online claims.

View account details under Manage account to confirm all eligible dependents were added during enrollment, or upon date of eligibility (e.g. marriage date, birth date).

*For over-age dependents to be considered eligible, we must receive confirmation of full-time enrollment.

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To request payment from your Health Spending Account, select "Yes" where it says "Pay remainder from Health Spending Account."

• Visit Documents in mybluecross® to view your Explanation of Benefits statements online.
• Visit Claim history in mybluecross® to view the details of your claims.

Visit Payments history once your claim is processed to view the details of your claim payment.

Changes to account information must be requested in writing from the member.

• If you have benefits through an employer or group, it is recommended that you contact your plan administrator to update your account.
• If you have purchased benefits through Manitoba Blue Cross or an agent, please submit your written request to Manitoba Blue Cross.

*Provided the change is submitted within 30 days, coverage will be effective as of date of eligibility (e.g. marriage date, birth date). If the change is submitted outside this time frame, coverage will become effective after three full months in accordance with the enrollment rules of your plan.

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If your claim submission is successful, the final screen will confirm payment details. You will receive an email notification when payment is processed. Your bank account should reflect payment within 2-3 business days.

Ensure all certificates have been added to your online account. Visit Add certificates in mybluecross® to add a missing certificate to your account.

If you are covered under our National plan, your certificate is not eligible for claim submission through this application.

Yes. You may submit a claim for a spouse or dependent with coverage under another plan through mybluecross® as long as they have submitted the claim under their primary plan first.

Visit Coverage in mybluecross® to view your coverage details.

Our terms and conditions are in place to protect the validity of the Online Claims Submission system. If you have questions or concerns about any of the terms listed, contact us.

• Manitoba Blue Cross may verify the accuracy of the claim being submitted by asking you to submit the receipt(s) and, if needed, further supporting documentation. If requested, you agree to send us this information within 30 days of the request.
• Manitoba Blue Cross reserves the right to request that you submit your claim receipt(s) and supporting documentation within 12 months of submitting your claim.
• Manitoba Blue Cross reserves the right to remove your access to Online Claims Submission without notice.
• Manitoba Blue Cross may deny your online claims and terminate your coverage if you provide false, incomplete, or misleading information.
• Manitoba Blue Cross reserves the right to deduct any monies or overpayments that you may owe to Manitoba Blue Cross from your future claim payments.