eClaims frequently asked questions

eClaims is a web-based system where healthcare providers can submit claims online on behalf of their patients. The portal is accessible via the internet and offers eligible extended healthcare providers the convenience of capturing and submitting electronic claims to their patient’s insurance company at their point-of-sale.

You can register for eClaims at telushealth.co/eclaims. TELUS Health will then provide you with all of the login information needed to access the eClaims portal. Once you have logged in to the portal and set up your profile, you can use the same login credentials to access eClaims via the mobile app. Simply download the app from the Apple or Android stores.

The service allows you to submit claims or estimates (predetermination of benefits) on behalf of your patients at the point of care. Depending on the insurer's offering, the submission could adjudicate automatically, with confirmation on coverage, types of expenses claimed and provider eligibility. In that case, you will immediately receive a notice of the result of the transaction to share with the patient.

TELUS Health is responsible for the registration of providers and for offering the online portal that allows providers to submit claims to the participating insurance companies.

• Reduce your credit card fees by having patients pay only their deductible

• Inclusion on the eClaims provider search tool, available on many of our participating insurers’ plan member portals. It’s free marketing.

• Increase patient satisfaction and patient loyalty by offering your patients a value-add service that reduces their paperwork and their out-of-pocket fees.

• Registration and utilization are free and there are no fees for your patients

• A robust solution with easy access

• Faster claim submission with a lower margin for error

eClaims is free for healthcare providers and their patients.

You can use the eClaims mobile app to submit claims from the mobile device that you have on your person, rather than having to go in front of a computer screen. During this process, you can hand your device to your patient so that they can provide consent to receive responses by email, rather than having to print responses and have them manually signed.

You will need to complete infrequent tasks operations, such as profile changes, updates to banking information, and adding users and providers, from the eClaims portal. You cannot view or submit predeterminations from the eClaims app.

• Canada Life

• Manulife Financial

• Sun Life Financial

• BPA

• Canadian Construction Workers Union

• Chambers of Commerce Group Insurance Plan

• CINUP

• ClaimSecure

• Cowan Insurance Group (managed by Express Scripts Canada)

• D.A. Townley

• Desjardins Insurance

• First Canadian

• GMS Carriers 49 and 50 (Express Scripts Canada)

• GroupHEALTH

• GroupSource

• Industrial Alliance

• Johnson Inc.

• Johnston Group

• La Capitale

• LiUna Local 183

• LiUna Local 506

• Manion

• Maximum Benefit

• People Corporation

• RWAM

• TELUS AdjudiCare

• Union Benefits

• UV Insurance

• Acupuncturists

• Chiropodists

• Chiropractors

• Dietitians

• Massage Therapists

• Naturopathic doctors (Alberta, British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Saskatchewan)

• Occupational therapists

• Physical Rehabilitation Therapist

• Physiotherapists

• Podiatrists

• Psychologists

• Social Workers

• Speech language pathologists

• Vision care providers (Opticians and Optometrists)

You can register for the eClaims service from the TELUS Health eClaims registration site. Once you are registered, you can use it from the mobile app, web portal or from an integration in a participating practice management software.

Following registration, processing time may take between one and three weeks depending on the complexity of the validation and the information you have provided. Once your application has been processed, you will receive an email confirming your registration including your user login(s) which you can use for both the web portal and the eClaims mobile app.

If you are eligible for eClaims, you can register and terminate your utilization of the service at any time, without fee or penalty. You can also reactivate your registration after terminating it.