Viewing and submitting claims
- Submit a claim
- View your claims history
- Get an estimate
- Create a claims history report
- View personalized claim forms
- Submit supporting documents for an audited claim
Frequently asked questions about coverage
- What is a procedure code?
- What compound medications are covered?
- What is a DIN?
- What's an Explanation of Benefits (EOB) statement?
- Am I covered for counselling or mental health services?
- What is Pharmacare?
Frequently asked questions about claims
- What is a copayment?
- What is a reasonable and customary claim limit?
- How long will my claim take?
- What is it meant by fully paid receipt?
- Can I submit a receipt that is in a language other than French or English?
- How do I cancel an accidentally submitted duplicate claim?
Frequently asked questions about dental coverage
- What is a procedure code?
- My claim was denied stating I need a dental claim form. What should I send with my dental claim?
- Why was my dental exam denied due to frequency?
- What is a dental fee guide?
- Why was my dental claim denied stating the name on the claim does not match our system?
- What is scaling and root planning? How many units do I have?
Frequently asked questions about drug coverage
- Understanding formularies
- Why are there multiple submissions for the same drug on the same day? Is my pharmacy getting paid more than once?
- Why am I not eligible for a refill yet?
- Am I eligible for a vacation supply of medication?
- What is the allowed amount for my medication?
- What type of receipt do I need to submit for my medication claim?