Registration Instructions

If it is your first time using our Provider Registration website, please read the following instructions carefully. This registration site is currently open to providers of the following services:

  • Acupuncture
  • Chiropractic
  • Massage Therapy
  • Multiple Health Clinic
  • Naturopath
  • Ophthalmology
  • Optical Store
  • Optometry
  • Physiotherapy
  • Podiatry
  • Psychology

This registration process will take a few minutes to register each practitioner. You MUST have the following information:

  • Provider location information (business license number is required for optical stores)
  • Practitioner information (including registration number)
  • Corporate contact (can also be the practitioner)

Steps to register for an account:

Step 1

Enter provider information

  • Category and legal name
  • Office location
  • Contact information

Step 2

Enter practitioner(s)

  • Name and email
  • Registration number
  • Effective date
OR

Step 2
(Optical Stores)

Enter Business License

Step 3

Enter corporate contact information

  • Name and title
  • Email address & phone
  • Can also be practitioner

Step 4

Review the information you have entered and submit

Step 5

Receive confirmation

What happens next?

It may take up to 10 days to process your application. Once approved, you will receive activation information by email.

Signature
09-23-2017
The Person authorized may be the office manager, front office staff, or another person completing the application on behalf of the provider.
Pacific Blue Cross will send the application status to this email address.

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