This guide will walk through everything you need to set up your Pacific Blue Cross PROVIDERnet integration so you can begin directly billing claims from the comfort of your Jane account.
- Who can use the integration?
- Managing Multiple Accounts or Locations
- Linking your Pacific Blue Cross PROVIDERnet portal to Jane
- Additional Notes
Who can use the integration?
Jane’s Pacific Blue Cross (PBC) integration is available only for clinics located in BC. If your clinic is outside BC, visit our Working with Claim Submissions and Online Insurer Portals guide for help submitting claims through external portals.
If you aren’t registered to submit claims to PBC on behalf of your patients, you’ll need to register your clinic before setting up the integration in Jane. You can register directly through the Pacific Blue Cross registration portal.
Jane’s PBC PROVIDERnet integration supports the following practitioners:
- Acupuncturists
- Chiropractors
- Massage Therapists
- Naturopathic Doctors
- Physiotherapists
- Podiatrists
💡 If you’re a mental health practitioner providing services to FNHA clients, please continue submitting those claims through the PROVIDERnet portal. PBC’s integration does not yet support all FNHA billing features.
Managing Multiple PBC Accounts or Locations
Jane can connect only one PROVIDERnet location and one PBC login per Jane location. To ensure claims process correctly, your PROVIDERnet locations should match your setup in Jane.
For managing multiple PBC locations or logins (for example, if each practitioner or location has their own account), only one can be connected to Jane. This means claims can only be submitted directly for one PBC location or practitioner.
If you fall into this category, contact Pacific Blue Cross Provider Relations at [email protected] to discuss your options for consolidating accounts or locations
Once your registration is complete, you can jump ahead to the steps below.
Linking your Pacific Blue Cross PROVIDERnet portal to Jane:
If you currently have an account with Pacific Blue Cross, you’ll need your username and password. Once you’ve got that handy, you’ll want to head over to the Settings tab within your Jane account, click on Integrations and then click the blue Get started button on the Pacific Blue Cross section.
Next, click the blue Get Started with Pacific Blue Cross button:
You’ll now be asked for your Username and Password - you’ll want to enter the same login credentials you’ve been using previously to access the PROVIDERnet portal.
Next, you’ll be asked to consent to your account with Jane Software Inc. (your Jane account) accessing the information currently set up in your Pacific Blue Cross account.
By checking the “Offline Access” box, Pacific Blue Cross will keep you logged in for approximately 30 days before you’ll be required to re-authenticate with them. On this step, you’ll want to check the box to “Remember my acceptance” as well so that you’re not asked to complete this step each time you go to submit a claim from Jane.
After a few moments, you’ll see your Pacific Blue Cross locations and the providers set up to bill through that account. This is where you’ll link each Jane location and practitioner to their matching PBC record.
If a location or practitioner name isn’t spelled exactly the same in Jane as it is in PBC, don’t worry, linking them here ensures your claims send the correct information!
If there are practitioners listed that you won’t be billing PBC for, choose ‘Unassigned’ from the drop-down so they aren’t linked to the integration.
Once your Pacific Blue Cross account is linked, there is one final step: choosing your payment preference.
By default, Jane automatically records a payment for each successfully submitted claim and marks it as Approved once the insurer’s response is received. These payments are recorded at the time of submission and do not match the actual deposits from the insurer.
If you prefer to record payments yourself when you receive your statements, select the option to Record Payments Manually.
If the “Record Payments Manually” option is selected, when a positive response (approval) is received for a claim submitted through the Pacific Blue Cross integration, the claim will be marked as Submitted and left unpaid.
When you receive your statement and direct deposit from the insurers, you can proceed with manually recording the applicable payments to each claim.
For details on manually recording these types of payments, check out our Receiving an Insurer Payment guide.
Now if everything looks good - click Save Integration to confirm your integration set up.
You should now see that your Pacific Blue Cross login has been successfully linked to your Jane account and you’re all ready to begin submitting claims - directly from Jane!
During the integration setup, Jane will also create a specific Pacific Blue Cross PROVIDERnet insurer that will now be used to create claims for patients with extended health coverage through Pacific Blue Cross. Jane takes care of this step for you, so you won’t need to worry about creating an insurer yourself.
Additional Notes:
If you have a new practitioner join your clinic - you’ll first need to set them up with a Pacific Blue Cross account under your clinic login. This does need to be done directly through the Pacific Blue Cross portal, not from within Jane.
After registration is completed, you’ll want to head back to Settings > Integrations within your Jane account, select Pacific Blue Cross and then use the Edit button to connect additional staff.
This also applies to adding additional locations to your Pacific Blue Cross account. The setup for the new location would occur directly through the Pacific Blue Cross portal and you’d adjust your locations connected to the integration the same as you would when adding new practitioners.
If your Pacific Blue Cross login/account changes and is no longer connected to the original account, you would need to switch the login connected to Jane using the Reauthenticate button. This would only be done if you were no longer using the original PBC login/account and set up a brand new one.
If you’re running into the Authorization Has Been Denied for This Request error message, you’ll need to Reauthenticate the integration under the Settings tab > Integrations > click on the blue 1Integration button on the Pacific Blue Cross section.