Direct Billing & Insurance

A Thread of Clarity is an Alberta-based therapy practice that provides direct billing to over 20 major insurance providers, including Alberta Blue Cross, Canada Life, Green Shield, Manulife, Sun Life, Medavie Blue Cross, and NIHB. We offer in-person therapy in Edmonton and virtual therapy across Alberta, with direct billing available depending on provider registration and insurance requirements.

Do you Direct Bill?

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Yes. We offer the convenience of direct billing to over 20 insurance providers. When available, claims are submitted on your behalf to reduce out-of-pocket costs and paperwork. Read more.


Which Insurance Companies do you Direct Bill to?

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Direct billing is currently available for the following insurers, depending on provider designation:

Major Insurance Providers

  • Alberta Blue Cross

  • Canada Life

  • Green Shield Canada / SSQ

  • Manulife Financial

  • Sun Life

  • Medavie Blue Cross (including RCMP, Veterans Affairs, Canadian Armed Forces, and National plans)

  • ClaimSecure

  • Industrial Alliance

  • Equitable

  • Telus Adjudicare

Group, Union & Plan Administrators

  • AGA Financial Group

  • BPA – Benefit Plan Administrators

  • Chambers of Commerce Group Insurance

  • CINUP

  • Coughlin & Associates Ltd.

  • Cowan

  • D.A. Townley

  • First Canadian

  • GMS Carrier 49

  • GMS Carrier 50

  • Johnson Inc.

  • Johnson Group Inc.

  • LiUNA Local 183

  • LiUNA Local 506

  • Maximum Benefit

  • MDM Insurance Services Inc.

  • People Corporation

  • Simply Benefits

  • Union Benefits

  • UV Insurance

  • Canadian Construction Workers Union

Indigenous Health Coverage (NIHB)

  • Non-Insured Health Benefits (NIHB) for eligible First Nations and Inuit clients.


Do I need a referral for Direct Billing?

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In most cases, no referral is required for direct billing through extended health benefits.

Some plans may require:

  • Pre-authorization

  • Physician referral

  • Additional documentation

NIHB coverage may include specific eligibility or approval requirements, and we’ll guide you through that process if applicable.


Looking for more details about how direct billing works, required forms, or payment policies?

→ Read more about direct billing & insurance FAQs