Flexsave claim form alberta 2025

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  1. Click ‘Get Form’ to open the flexsave claim form in the editor.
  2. Begin by entering your COMPANY NAME and EMPLOYEE NAME in the designated fields at the top of the form.
  3. Sign the form in the SIGNATURE field and enter the DATE of signing.
  4. For each expense, fill out the DATE OF SERVICE, EMPLOYEE/DEPENDENT name, and DESCRIPTION OF EXPENSE (Health/Dental/Vision).
  5. Input the AMOUNT OF RECEIPT for each expense incurred.
  6. Review your entries and ensure all receipts are original and meet submission criteria before calculating your Total Claims.
  7. Finally, submit this completed form to your Plan Administrator for processing.

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Contact Alberta Blue Cross Customer Services at 780-498-8000 or toll free in other areas at 1-800-661-6995. Our hours are Monday to Friday from 6 a.m. to 5 p.m. Mountain Time.
On the form, you will be asked for: Coverage amounts at the time of the loss; Date and cause of the loss; A complete list of all damaged, destroyed or stolen items. Documents that support the value of the property and the amount of loss claimed (i.e. estimates, inventories, receipts, etc.) Attach photos of damaged items.
Contact your insurance company Whether you file your car insurance claim over the phone, online, through a mobile app, or with an agent, your insurer will likely request the following details: Location, date, and time of accident. Name, address, phone number, and insurance policy number for all involved in the accident.
Health benefits Use the Alberta Blue Cross claim form when you submit receipts for reimbursement. You must submit your claim to Alberta Blue Cross within 12 months of the service date to be eligible for reimbursement. The service must have been provided after the effective date of your coverage.
Select one of the following options to submit your documents: Submit documents online. Fax to 780-422-5954. Contact the Alberta Supports Contact Centre at 1-877-644-9992 (have your Personal Health Care card available when calling) Mail to: Seniors Financial Assistance. PO Box 3100. Edmonton, Alberta T5J 4W3.
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People also ask

Download our Alberta Blue Cross member app for iPhone or Android devices and submit most types of claims quickly and easily through it. Mail in a completed, signed claim form to Alberta Blue Cross, 10009-108 St. NW, Edmonton, Alberta T5J 3C5.

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