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Pacific Blue Cross - Setting up your PROVIDERnet Integration

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?

Our Pacific Blue Cross integration is currently only available for clinics located in BC. If you are outside of BC and need to submit to their portal, take a look at our Working with Claim Submissions and Online Insurer Portals guide on how to work with claims submitted on an external portal.

If you are not currently registered to submit claims to Pacific Blue Cross on behalf of your patients, you’ll need to register your clinic prior to establishing your integration in Jane. You can complete the registration process through Pacific Blue Cross here

Practitioners that are able to use Jane’s Pacific Blue Cross PROVIDERnet integration are: Acupuncturists, Chiropractors, Massage therapists, Naturopathic doctors, Physiotherapists, Podiatrists and Psychologists.

💡If you are a mental health practitioner who is providing services to FNHA clients: Pacific Blue Cross does not yet support all the required functionality for FNHA billing through their integration. This means that you should continue to submit these types of claims through the PROVIDERnet portal.

There can only be one Pacific Blue Cross login per integration. If you currently manage Pacific Blue Cross submissions for your patients through multiple PBC logins (ie. each practitioner has their own PBC username and password), you would only be able to connect one account to your Jane account meaning that claims for only one practitioner could be directly submitted through Jane.

Jane is not able to support multiple connections between PROVIDERnet locations and a single Jane location. In order to use Jane’s PROVIDERnet integration optimally, you will need to ensure that the locations in your PROVIDERnet account match the location set up you have in Jane. If you currently have multiple locations set up with PBC but only one Jane location, you would only be able to submit claims for a single PBC location through Jane. If either of these cases applies to you please contact Pacific Blue Cross Provider Relations at [email protected] to discuss your current account setup and the options available to consolidate multiple accounts under a single login or to consolidate multiple 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 a list of the locations associated with your Pacific Blue Cross account, as well as a list of the providers set up to bill through this account. Here’s where you’ll link the integration for each of your locations, as well as each of the providers that you’ll be submitting claims for.

If the name of a location, or the name of a practitioner is not spelled exactly in Jane as it is with Pacific Blue Cross not to worry! Linking each Jane Location and Staff Member to their Pacific Blue Cross equivalent ensures that accurate information is being sent with your claims.

If there are practitioners that display on the left, but you do not intend to bill Pacific Blue Cross for them through Jane, select the ‘Unassigned’ option from the drop-down so they’re not linked to your integration:

If everything looks good - click Save Integration to confirm those changes.

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, yo’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.

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