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EMERGENCY OUT OF PROVINCE/
OUT OF COUNTRY CLAIM FORM
Alberta
Blue Cross, Health Services Department,
10009108 Street NW, Edmonton AB T5J 3C5 CanadaMail this claim with your original receipts to:
For
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How to fill out emergency out of province

How to fill out emergency out of province
01
Gather all the necessary information and documents such as identification, contact information of the person or organization to be contacted in case of emergency, medical information, and insurance details.
02
Research and find out the specific requirements and procedures of the province you are visiting. Each province may have different forms and processes, so it is important to be familiar with them.
03
Fill out the emergency out of province form accurately and completely. Be sure to provide all the requested information and double-check for any errors.
04
Submit the completed form to the appropriate authority or agency. This may vary depending on the province, so make sure to follow the instructions.
05
Keep a copy of the filled-out form for your records and make sure to carry it with you during your visit to the province. It may be required in case of an emergency.
Who needs emergency out of province?
01
Anyone who resides in a particular province but needs emergency medical coverage when traveling outside that province may need emergency out of province coverage.
02
This may include individuals who are temporarily residing in a province and do not have provincial health coverage, individuals who have recently moved to a new province and have not yet obtained coverage, or individuals whose provincial health coverage does not cover emergency services when traveling outside the province.
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What is emergency out of province?
Emergency out of province refers to medical services that are required by an individual while they are outside of their home province.
Who is required to file emergency out of province?
Any individual who receives medical services outside of their home province is required to file emergency out of province.
How to fill out emergency out of province?
To fill out emergency out of province, individuals need to provide details of the medical services received, the location where the services were provided, and any relevant insurance information.
What is the purpose of emergency out of province?
The purpose of emergency out of province is to ensure that individuals receive proper reimbursement for medical services received outside of their home province.
What information must be reported on emergency out of province?
Information such as the date of service, the type of medical service received, the healthcare provider's information, and any insurance or billing details must be reported on emergency out of province.
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