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WorkSafeBC

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Billing and reporting

Billing
Reporting

Billing

Invoices must be submitted electronically through MSP/HIBC Teleplan or through the use of a service bureau.

Invoices should be received within seven calendar days of service to facilitate the timely notification of disallowed or suspended claims, or concurrent treatment. Invoices submitted more than 90 calendar days after the date of last service may not be paid.

To check the status of an invoice payment from WorkSafeBC online, go to Check invoice payment status.

Billing electronically

To submit invoices electronically, you need clinic-invoicing software compatible with Teleplan. For more information, contact your medical software vendor. Alternately, you can submit invoices through an invoicing service bureau, like the BCCA Service Bureau, which takes a paper invoice and electronically submits it through Teleplan. Contact the BCCA by fax (604 278-0093) or email (info@bcchiro.com) for WorkSafeBC billing information.

Paper billing

Electronic submission of invoices is the required method for billing WorkSafeBC. However, if a chiropractor is required to submit an invoice by paper (when there is no PHN, for example), or if requested by Health Care Services or Payment Services, payment may be delayed.

If you are going to submit paper invoices, online copies of the WorkSafeBC Invoice for Treatment Services (267) (PDF 77kb) can be printed or ordered through WorkSafeBC's Forms Distribution. For more information on how and where to submit invoices, please refer to contact details. Chiropractors without the capability to submit information electronically through MSP/HIBC may be able to use invoicing service bureaus, including the BCCA Service Bureau.

Using practitioner numbers

MSP uses practitioner numbers to identify chiropractors. The payment system requires both a practitioner number and facility payee number (where applicable) to process invoices. An MSP/HIBC practitioner number is also recognized as a valid payee number however, both practitioner and payee fields must be completed when submitting electronic or paper invoices to WorkSafeBC.

Fee items

To bill WorkSafeBC for your services, include only those fee items (PDF 44kb) outlined in Schedules A & B of the Agreement.

Patients not initially treated as WorkSafeBC clients

When a worker is not initially treated as a WorkSafeBC client but a compensation claim is subsequently accepted under the Workers Compensation Act, the chiropractor must reimburse the injured worker all fees associated with the services. The Chiropractor would then bill WorkSafeBC as per Schedule B of the Memorandum of Agreement. A chiropractor may not charge any additional fees to an injured worker for treatment to the injured area accepted on the claim under the Act.

Treatment of areas not accepted on the WorkSafeBC claim

Workers who attend for work-related injuries may elect to have treatment to areas other than the accepted injured area on the WorkSafeBC claim. The chiropractor may charge a fee where treatment is provided to areas other than the accepted area of injury on a claim. Prior to treatment, the worker must acknowledge his/her understanding that the fee for treatment to areas not accepted on the claim is his/her responsibility and will not be reimbursed by WorkSafeBC.

Rejected billings

If there is a problem with an invoice, you will be notified and an explanatory code(s) (PDF 354kb) will indicate the reason. For billing and payment queries, call 604 276-3085 or toll-free 1 888 422-2228.

Invoice codes

WorkSafeBC has adopted a subset of the Canadian Standard Association (CSA) injury codes. This is a key element for case management and early intervention. Please use these codes to complete Forms 8C/11C.

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Reporting

Chiropractors must submit Form 8C and Form 11C electronically to WorkSafeBC through MSP/HIBC Teleplan. These reports are available through clinic software. For more information, contact your medical software vendor. Alternately, you can submit the F8C and F11C reports through a service bureau, like the BCCA Service Bureau, which takes a paper report and electronically submits it through Teleplan. Contact the BCCA by fax (604 278-0093) or email info@bcchiro.com for WorkSafeBC reporting submission information.

If an injured worker does not have a Personal Health Number, the only method to submit Form 8C or 11C is by fax at 604-233-9777 or 1-888-922-8807. Other reports or chart notes can be faxed to WorkSafeBC as well.

Since the paper version of Form 8C and 11C is a single document. Please indicate at the top of the form which form you are submitting. If you require additional space for reporting clinical information, use the Practitioner's Addendum (PDF 92kb).

The Form 8C must be successfully received by WorkSafeBC within five calendar days of the initial date of service in order to be paid in full. Form 11C must be successfully received by WorkSafeBC by the end of the fourth week of treatment or at discharge, whichever comes first. Form 11C must include a plan for clinical recovery and a return-to work-plan or recommendations for further investigation or treatment.

There is also an X-ray report form that chiropractors may use from time to time:

Additionally, the Reference Guide for Chiropractor Services (PDF 295kb) contains useful information on how and when to complete chiropractic reports for WorkSafeBC.

 

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