- The BCCP Web Data System is an Internet-based program that allows enrolling providers, ancillary providers, and state administrators to collect and share information. Data and claims must be submitted directly to the BCCP electronically.
Take online training on how to use the Web Data System, including how to fill out the paper forms, enter data and claims, and view reports such as your explanation of benefits (claims status) report.
Download (pdf) the Web Data System User Guide or view it online.
Print Out Forms
Download and make copies of the new paper forms. You will be entering all the information from the forms online. Please do not mail or fax any of these forms to the State.
BCCP Only Enrollment Form
BCCP/WISEWOMAN Enrollment Form
Breast and Cervical Tracking Forms
You can log on to our PRACTICE BCCP Web Data System at any time. Any data or claims entered into the PRACTICE Web Data System are just for practice. Please do not enter any real patient information.
After you have been trained and received a user request form, log on to the BCCP Web Data System to enter data and submit claims.
To enter client data and submit claims: https://secure.ahlerssoftware.com/BCC/login.aspx
View a Demo of the new Web Data System
Demo the new Web Data System
To view the demo, you will need Adobe Flash Player 7 or later.
If you have any questions or concerns, contact us at email@example.com.