Quick Links
Customer Centres
Dentist billing and reporting
Reporting
When WorkSafeBC accepts a worker's
claim, WorkSafeBC becomes solely responsible for the cost of all dental
work relating to the claim injury. The following processes ensure that
WorkSafeBC receives appropriate information from the treating dentist
and that prompt payment is made for dental services provided to injured
workers.
First examination
Immediately after the first examination, a Dentist's
Report (Form 382) (PDF 83kb) must be submitted to WorkSafeBC by fax
at 604 276-3195 or toll-free 1 888 922-3299. If you do not have a fax
machine, please submit by mail to:
WorkSafeBC
PO Box 94460, Station Main
Richmond, BC V6X 8V6
Attention: Dental consultant
When filling out Form 382, please include the following:
- WorkSafeBC claim number - if you do not have this information, contact the WorkSafeBC Claims Call Centre
- worker's name, address, phone number, date of birth, and social insurance number
- worker's Personal Health Number
- your WorkSafeBC vendor number
- your contact information (name, address, phone number, etc.)
Treatment following first examination
If further treatment is required, the treating dentist must obtain pre-approval from WorkSafeBC. Unless there are extenuating circumstances, WorkSafeBC will only cover the costs of pre-approved treatment.
A WorkSafeBC dental consultant will review your request and, if necessary,
call you for clarification. You will be advised in writing if your estimate
and treatment plan are accepted.
Billing
Payment is based on the current fee schedule of the Association of Dental Surgeons of B.C. Extra billing is not allowed.
If you have pre-approval, follow these steps to ensure you receive timely payment for dental services provided:
- The standard Dental Claim form (CDA) also acts as your invoice.
Include the following information on the form:
- the name or address of your office
- a list of all procedures performed, using procedure and tooth codes as appropriate
- list the cost of those procedures (as per fee schedule)
- list lab fees separately from dental fees
- in the Dentist's Use Only box, write "Pay Dentist" and include the injured worker's WorkSafeBC claim number, and your WorkSafeBC vendor number or
- if the worker has already made the payment, write "Pay Patient" in the Dentist's Use Only box
- Mail the standard Dental Claim form (invoice) and:
- a copy of the WorkSafeBC's pre-authorization letter
- a copy of all lab reports, if applicable
to WorkSafeBC at PO Box 94460, Station Main, Richmond, BC V6X 8V6
Until all of the required documentation is received, WorkSafeBC cannot process your invoice for payment.
To obtain pre-approval
Fill out both the Dentist's Report (Form 382) (PDF 78kb) and the standard Dental Claim form and fax to WorkSafeBC at 604 276-3329 or toll-free 1 888 922-3299. If you do not have a fax machine, please submit by mail to:
WorkSafeBC
PO Box 94460, Station Main
Richmond, BC V6Y 2V6
Attention: Dental consultant
If WorkSafeBC accepts the claim and authorizes the treatment, you will be paid for the treatment. If WorkSafeBC denies the claim, the patient will become financially responsible for the treatment. WorkSafeBC Health Care Payment Services staff at 604 276-3085 or toll-free at 1 888 422-2228 will answer any questions or concerns.
Rejected billings
If there is a problem with one of your invoices, you will be contacted by phone to discuss. If you require clarification or further information, contact the WorkSafeBC Health Care Services Payment staff at 604 276-3085 or toll-free at 1 888 422-2228.
GST and PST
As a provincially legislated body, WorkSafeBC is GST exempt. We will, however, pay PST when applicable.
For more information
Contact WorkSafeBC dental consultant at 604 231-8375 or toll-free at 1
888 967-5377, local 8375.