eClaims

Follow these steps:

1. Register for a Sun Life Connect (SLC) account.

    Already have an account? Log in to SLC to continue .

2. During registration, eClaims and Provider Search are two free features that are available depending on the specialties your facility offers. 

3. Once you’ve registered and activated your SLC account, you will be able to set up eClaims.

4. Have the following information ready to set up eClaims:

  • Ownership information, such as the name of who the business is owned by – be it either a single owner, multiple owners or a corporation.
  • Ownership details (including the registered business number).
  • Banking information for direct deposit.
    • You can upload a bank issued, pre-printed void cheque or a direct deposit form. Make sure it clearly displays the name and address of the account holder, transit number, financial institution number and account number.

5. Once you’ve completed all steps and provided the required information you can submit your request, and we’ll begin our validation process. Our team will let you know once eClaims is enabled.

Claims can be submitted for the following specialties:

  • Acupuncturist
  • Chiropodist
  • Chiropractor
  • Clinical counsellor
  • Naturopath
  • Occupational therapist
  • Optician
  • Optometrist
  • Osteopath
  • Physiotherapist
  • Podiatrist
  • Psychologist
  • Psychotherapist
  • Registered dietitian
  • Registered massage therapist
  • Speech therapist
  • Social worker

You have 30 days from the date the services were provided to submit a claim. We recommend the claim be submitted immediately after you provide the service so you and your patient will know right away what the plan covers.

You can void a claim within the same day of submitting it through the Claims History under the Features tab. To void any claims after the day of submitting you will need to go through our claims team. Contact the claims team by calling 1-855-301-4786.

When a patient is covered under more than one plan, coordination of benefits applies. This occurs either with a single insurance company or with multiple insurers. Coordination rules determine which insurer, or plan pays for claims first and which one(s) pay(s) for future claims.

Patients submit their claims under their own plan (policy) and identify their spouse’s plan (policy) for secondary coverage purposes.

If the patient is a child and is covered under both policies, submit the claim under the policy of the parent whose birthday occurs earliest in the year. For example, if the father’s birthday is February 1 and the mother’s birthday is September 1, list the father’s policy as primary and the mother’s policy as secondary.

Under most plans, an eligible dependent is:

  • A legal spouse or common law spouse or partner,
  • children usually under the age of 21,
  • unmarried children usually under 25 years of age and continuing to attend post-secondary school,
  • any child with physical or mental disabilities (as approved by Sun Life)

Note that in order to submit a claim for an eligible dependant, they must first be listed on the member’s benefit plan.

No. Services purchased in advance cannot be claimed until the day the service has been rendered.

No. Submit separate claims for each Client.

No. Payment will be sent directly to the Practice, except for cases where:

  • Claim is in pending status (received, but not yet processed).
  • Plan doesn’t allow assignment.

In cases where payment is not sent to the Practice, payment will be sent directly to the plan member.

No. Payment will always be sent directly to you, except for instances where:

  • Claim is in pending status (received, but not yet processed).
  • Plan doesn’t allow assignment.

In cases where payment is not sent to you, payment will be sent directly to the plan member.