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Become an Approved Association

January 2017

Associations can apply to become an approved Medavie Blue Cross Association

In order to facilitate the assessment of your association for approval, this application must be completed, signed, and include all required documentation to support your answers. Please indicate in your answers where the supporting documentation can be found in your overall response (i.e. appendix #, document name, page, paragraph, etc.) The application is also available in a modifiable PDF format upon email request to [email protected].

Please submit your completed application and required supporting documents via fax to 506-869-9673, by e-mail to [email protected] or by Canada Post to:

Medavie Blue Cross
Professional and Provider Affairs
644 Main Street
PO Box 220
Moncton, NB E1C 8L3

Please note that failure to answer all questions or provide required documentation may result in our inability to assess your application for approval status with Medavie Blue Cross. Should you have any questions or concerns please email [email protected].

Please allow 10 business days for review. You will be contacted once our review process has been completed.