Direct billing consent form: Pacific Blue Cross

This form is for Kayda Health clients with Pacific Blue Cross coverage. It lets Kayda Health direct bill Pacific Blue Cross on your behalf. Please complete it before your first session if possible.

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1. Download the Pacific Blue Cross Pay Provider Authorization form (PDF).

2. Fill in your member and patient information. The provider section is already filled in for Kayda Health.

3. Sign and date the form.

4. Send the completed form to connect@kaydahealth.ca. You only need to do this once. We keep the signed form on file.

 

Wrong form? If your insurer is Sun Life, use Sun Life form. If your insurer is another insurer billed through TELUS eClaims, use TELUS eClaims form.

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If you have any questions, please email connect@kaydahealth.ca