Alberta Blue Cross Benefits Forms

Alberta Blue Cross (ABC) drug special authorization form(s) must be completed, submitted and approved in order for a patient to be eligible for medication health insurance supports through programs administered by ABC. 

External (Blue Cross) Forms

All available ABC drug special authorization forms can be found via an online database maintained by ABC. Print-ready (pdf) forms can be downloaded, printed and completed by prescribers. The full set of forms, plus all related requirements and instructions, are available via:

Completed forms should be scanned, attached to the Connect Care chart as "Media" documents, and faxed to ABC. The process is time-consuming, involves re-entry of data already in Connect Care, and is error-prone.

Internal (Connect Care) Forms

Letter Forms facilitate standardized documentation while accommodating a stakeholder's requirement for a particular documentation format. The forms can be rendered or easy communication via automated fax, and are accepted by clinical drug services administered by ABC

Many ABC drug forms are configured for semi-automated completion and direct digital transfer (via RightFax) to ABC

Finding Blue Cross Internal (Connect Care) Forms

The easiest way to find the digital Blue Cross drug authorization form is to use the chart sidebar index:

The Communications activity can also be opened from within any chart opened to an inpatient, emergency or outpatient encounter. 

Completing Blue Cross Forms

Interactive Charting

ABC Connect Care "internal" forms are built with a template that uses interactive charting (e.g., click-to-review, click-to-edit wherever text appears in a dark blue font colour). Double data-entry is minimized because much of required information is pulled from the patient's chart and presented to the clinician for final editing. Where clinician decisions are required before making selections, the relevant chart data is available via popup displays that spare the user from having to search the chart.

Embedded Instructions

Users should look to instructions and options provided within the form. Any instructions showing in light yellow text blocks will be automatically removed when the form is sent to ABC. Note any interactive help links ("?" character). These can be selected for more specific instructions, including drug approval particulars.

Drug-specific Modules

The ABC special authorization forms in Connect Care continue to grow. A starter set of 5 commonly requested approvals (e.g., Dual/Tripple Puffers, Hypoglycemics, ARNI, SGLT2i, GLP-1 medications) will be added to over time. 

A SmartList allows form users to navigate a cascading menu of options to find the drug(s) of interest and then enter drug-specific approval requirement information.

Sending Blue Cross Forms

It is important to pay attention to the form recipient. All Blue Cross Special Authorization forms are sent to "Alberta Blue Cross, Clinical Drug Services" which can be found by searching for "Blue Cross" using the "to" section of the Communications activity

Finding Completed Blue Cross Forms

Completed forms are found in the "Letters" tab of Chart Review, which can be filtered to show "Approval Requests".  Recently completed forms can also be reviewed within the "Forms" sidebar available from the sidebar index that shows for all charts opened to inpatient, emergency or outpatient encounters.

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