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WorkSafeBC

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Billing

Mandatory fields on invoice submission

To avoid potential delay or rejection, ensure all invoices (paper or electronic) are submitted to WorkSafeBC within 90 days of the date of service, and include:

  • Worker's surname
  • Worker's first name
  • Gender
  • Date of birth
  • PHN
  • Date of injury
  • Diagnostic code
  • Side of body
  • Body part code
  • Nature of injury code
  • Service location
  • Date of service
  • Payee name
  • Payee number
  • Practitioner number
  • Fee code*
  • Billed amount
  • Number of services
  • Invoice date
  • Invoice total
  • Invoice line item total
  • Postal code
  • Fee code description

*Depending on the fee code, the following may also be mandatory:

  • Facility
  • Referred-by facility
  • Referred-by practitioner
  • After-hours indicator
  • Time call started
  • Time call finished

Billing per diem for in-patients

Per-diem fees are paid at established inter-provincial rates, and are inclusive of all costs associated with an injured worker's hospitalization, including services for:

  • Cost of a public ward bed
  • Accommodation and meals
  • Patient care services
  • Nursing services
  • Routine equipment and surgical supplies
  • All hospital facilities
  • Required medications
  • Medical imaging (with some exceptions — check fee schedule)
  • Laboratory procedures
  • Surgical procedures

Each date of service must be indicated on all invoices submitted, and billed as a separate line item.

A per-diem fee can't be invoiced for the day of discharge or on the same service date as any of these ambulatory services:

  • Daycare surgery fee
  • IV therapy fees
  • Physiotherapy fees
  • Laboratory procedures
  • Routine medical imaging

Hospital salaried physician

Services billable to WorkSafeBC include MSP fee items and fee items unique to WorkSafeBC (e.g. fees for submitting Form 8). See Physician Form 8/11 Reference Guide for how to bill via Teleplan.

Operating room reports

The surgeon's operating room report and the anesthetic record must be submitted before payment will be processed. Surgical time indicated in the anesthetic record is mandatory to validate the rate of payment.

Out-patient physiotherapy

Invoices for out-patient physiotherapy services must be submitted to WorkSafeBC electronically via HIBC's Teleplan, as outlined in the Physiotherapy Agreement. Invoices for physiotherapy services submitted by fax may be paid at a reduced rate.

Paper billing

If the hospital isn't set up to submit invoices electronically, a copy of WorkSafeBC's Hospital Account Form 11H can be printed/ordered via Forms Distribution. View more information on Medical Services Commission Payment Schedule.

For how to complete Hospital Account Form 11H, review the Hospital Form 11H Reference Guide; fax completed invoices to 604 276-3195/toll-free 1 888 922-3299.

Fee schedule

When billing WorkSafeBC, use the following fee schedules:

Rejected billings

If your billing is held or rejected by WorkSafeBC, MSP will send a code explaining the situation. View more information on MSP Explanatory Codes.

More information

If you have questions regarding billing or payment, contact WorkSafeBC Payment Services at 604 276-3085, toll-free 1 888 422-2228.

Invoice codes

WorkSafeBC has adopted a subset of the Canadian Standard Association injury codes — a key element for case management and early intervention. Use these codes in your Treatment Report:

 

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