Simple ICBC billing software for B.C. physicians, physiotherapists and chiropractors.

Simple ICBC Billing Software

MSP Teleplan serves as an ICBC billing agent for many medical and healthcare occupations. Check if you can enroll.

PHYSICIANS

Physicians can use CM to bill ICBC electronically. Learn more.

PHYSIOTHERAPISTS

Physiotherapists can use CM to bill ICBC electronically. Learn more.

CHIROPRACTORS

Some chiropractors can use CM to bill ICBC electronically. Learn more.

OPTOMETRISTS

Optometrists can use CM to bill the Office of the Superintendent of Motor Vehicles (OSMV). Learn more.

MASSAGE THERAPISTS

Massage therapists are not allowed to bill ICBC electronically. Learn more.

ACUPUNCTURISTS

Acupuncturists are not allowed to bill ICBC electronically. Learn more.

PODIATRISTS

Podiatrists are not allowed to bill ICBC electronically.

NATUROPATHS

Naturopaths are not allowed to bill ICBC electronically.

Best ICBC Billing software

Claim Manager is the simplest way to bill ICBC and other insurance companies. It integrates electronic billing in your clinic management system and offers custom user interface designed exclusively for your profession.
Validation of ICBC claim number

Automated validation of ICBC claim number is built-in in every ICBC claim. None of your claims will be declined because of invalid claim number, and your payments will arrive sooner.
Libraries of ICBC billing codes

Eliminate room for error by selecting an ICBC billing code from a custom automatically-updated catalog for your profession. ICBC fees are populated automatically.
Libraries of diagnostic codes

Don’t get confused by thousands of diagnostic codes. Easily select a diagnostic code from a small built-in custom library of most popular codes for your profession.

SO SIMPLE

You can do your billing yourself.

Try it today. Limited time offer.

14-DAY FREE TRIAL!

ICBC Billing for Healthcare Practitioners

Read this section if you are a physiotherapist, chiropractor, massage therapist, occupational therapist, acupuncturist, podiatrist, or optometrist. If you are a physician, scroll down.

ICBC Rehabilitation Benefits

Only rehabilitation therapies by healthcare practitioners can be billed to ICBC. Learn if your services qualify as rehabilitative and what it the difference between mandatory and permissive rehabilitation benefits.

What are ICBC rehabilitation benefits?

According to s. 78 of the Part 7 of Insurance (Vehicle) Regulation (the “REGULATION”), rehabilitation is “the restoration, in the shortest practical time, of an injured person to the highest level of gainful employment or self sufficiency that, allowing for the permanent effects of his injuries is, with medical and vocational assistance, reasonably achievable by him”. Section 88 of the Part 7 of the Regulation divides rehabilitation benefits in either mandatory (ICBC must pay) or permissive (ICBC may pay). Do you know how s.88 applies to your profession?

What are mandatory ICBC benefits?

Mandatory ICBC benefits are defined by s. 88 (1) of Part 7 of the Regulation. Section 88(1) states that ICBC shall “pay as benefits all reasonable expenses incurred by the insured as a result of the injury for necessary medical, surgical, dental, hospital, ambulance or professional nursing services, or for necessary physical therapy, chiropractic treatment, occupational therapy or speech therapy or for prosthesis or orthosis.” Therefore, all listed healthcare therapies are mandatory ICBC benefits as long as they are necessary and reasonable.

What are permissive ICBC benefits?

Permissive ICBC benefits are listed in s. 88 (2) of the Part 7 of the Regulation. Under s. 88(2) ICBC may pay for treatments that “are likely to promote the rehabilitation” of the injured person. These benefits are referred to as “permissive” because ICBC has discretion as to whether it will pay for the items listed in s. 88(2). Section 88(2) do not list any specific healthcare treatments, such as acupuncture or massage therapy, but they generally fall under subsection (f) “funds for any other costs the corporation in its sole discretion agrees to pay.”

Expenses that help the claimant cope with daily living but do not restore function as defined in s.78, such as attendant care and pain management treatment, do not fall within coverage under Part 7: Uhrovic v. Masjhuri, 2008 BCCA 462; Boota v. Dhaliwal, 2008 BCSC 373, aff’d 2009 BCCA 586.

Is pain management a rehabilitation ICBC benefit?

Shall practitioners get the ICBC approval for permissive benefits?

Section 88(3) of the Part 7 of the Regulation requires the insured to obtain written approval from ICBC before incurring an expense for a permissive benefit. ICBC may require the insured to submit information necessary to assist in determining entitlement before making a decision. That means that practitioners might need to bill patients directly until they get an approval from ICBC for permissive benefits.

Is massage therapy a mandatory or permissive ICBC benefit?

ICBC argued that massage therapy is a treatment that is only payable under s. 88(2)(f) of the REGULATION, which makes it a permissive benefit. However in the important decision RAGUIN V. INSURANCE CORPORATION OF BRITISH COLUMBIA, 2011 BCCA 482(“RAGUIN”), released November 29, 2011, the Court of Appeal concluded that even though s. 88(1) does not mention massage therapy by name, it can be included as a form of “physical therapy”, meaning that where massage therapy treatment is necessary and recommended by a physician ICBC will be obliged to pay the associated reasonable expenses.

ICBC seems to have taken this decision to a next level because it states on its web site that it may fund up to 12 massage therapy treatments without a physician referral.

Is kinesiology a mandatory or permissive ICBC benefit?

Kinesiology is not listed under Part 7 but has been accepted and paid for as permissive benefit under s.88(2). Following the decision in Raguin, patients might argue that kinesiology shall be considered a mandatory benefit similarly to massage therapy. ICBC requires that a kinesiologist has a Bachelors of Kinesiology and provides one-on-one treatments. ICBC rate for kinesiologists is $50/hour. Until kinesiology is explicitly recognized as a mandatory benefit, obtaining a physician’s referral and ICBC adjuster’s preliminary approval is strongly recommended.

ICBC Billing Guide

General information about ICBC billing for healthcare practitioners.

Will ICBC pay for more than one treatment at a time?

What is the maximum limit for ICBC benefits?

Section 88 (7) of Part 7 of the REGULATION reads, “The maximum amount payable by the corporation under this section for medical, surgical, dental, nursing or physical therapy services or for chiropractic treatment, occupational therapy or speech therapy listed in the payment schedules established by the Medical Services Commission under the Medicare Protection Act is the amount listed in the payment schedules for that service, treatment or therapy.” Therefore, ICBC reimburses healthcare practitioners at a rate set up in the ICBC Fee Schedule for their profession.

Whom to bill: ICBC or a patient?

How often are ICBC benefits paid?

Under s.101 of the Regulation, benefits payable under Part 7 shall be paid by ICBC

(a) in the case of weekly benefits, within 4 weeks after it receives proof of claim, and thereafter at 4 week intervals if the insured complies with sections 98 and 99 when required by the corporation, and
(b) in any other case, within 60 days after it receives proof of claim.

By becoming an ICBC supplier a practitioner might get entitled to semimonthly payments.

Overlap of ICBC or WorkSafeBC benefits

Under ss.82 and 83 of the Part 7 of of the Regulation, if an insured is eligible for benefits under theWorkers Compensation Act or similar legislation in another jurisdiction or the Employment Insurance Act, that amount is deductible from benefits under Part 7. ICBC is exempt from their obligation to pay even when the insured doesn’t claim from the other source.

If the benefits from other sources exceed the amount that the claimant would be entitled to receive under Part 7, ICBC is not obliged to pay Part 7 benefits.

Overlap of ICBC and MSP Premium Assistance

Overlap of ICBC and extended policy benefits

If a patient has an extended health insurance policy, ICBC may refuse to pay for the treatments until the patient exhausts the extended coverage. Section 88 (6) of Part 7 of the Regulation reads that ICBC “is not liable for any expenses paid or payable to or recoverable by the insured under a medical, surgical, dental or hospital plan or law, or paid or payable by another insurer.” Fortunately for the patients, ICBC adjusters rarely enforce this condition, so most practitioners can successfully collect ICBC benefits before billing extended insurance plans of their patients.

Can ICBC request additional reports from healthcare practitioners?

Who can bill ICBC by MSP Teleplan?

Part 7 (Accident Benefits) of the Regulation

ICBC payees

ICBC Billing and User Fees

Charging patients over the ICBC rate.

Can practitioners charge over the ICBC rates?

Yes, practitioners on fee-for-service payment models are allowed to charge more than stipulated in the ICBC Fee Schedule. Any charges in excess of the ICBC rate are patients’ responsibility. They are often called “user fees”.

Practitioners on lump sum payment models, such as the flat fee model for chiropractors, are not allowed to charge their patients directly. Their patients have no out-of-pocket expenses.

Billing user fees to extended insurance plans

Will ICBC cover user fees?

ICBC will often reimburse user fees if the patient was not at fault of the accident. Under s. 102, ICBC may, at any time, make a lump sum payment of benefits or otherwise alter the form of payment to benefit the insured. Sometimes, ICBC may agree to reimburse patients’ user fees on a monthly basis. The reimbursement is an advance of a patient’s final settlement or court award. Practitioners are not a party to such transactions. Patients need to negotiate it with ICBC adjusters themselves.

SO SIMPLE

You can do your billing yourself.

Try it today. Limited time offer.

14-DAY FREE TRIAL!

ICBC Billing for Physiotherapists

B.C. physiotherapists can use Claim Manager to bill ICBC by MSP Teleplan.

ICBC Fee Schedule for Physiotherapists

Physiotherapists are on a fee-for-service billing plan. ICBC will pay for their services at the ICBC rate in accordance with the current ICBC Fee Schedule.

ICBC Payment Schedule for Physiotherapists

09904
Initial visit
$25.20
09902
Subsequent visit
$17.65
09933
Prolonged visit
$23.60
09934
Prolonged visit – other
$23.60
09935
Prolonged visit – CNS
$35.90
09908
Home visit
$28.70
09903
1st add. area
$6.75
09913
2nd add. area
$6.75
09914
3rd add. area
$6.75

Can physiotherapists bill their patients directly?

What information is required to submit 1st ICBC claim?

Do physiotherapists need a physician referral to bill ICBC?

ICBC web site states that ICBC may fund up to 20 physiotherapy visits before a physician needs to be involved. However, s. 88 (8) of the Part 7 of the Regulation reads, ICBC “is not liable to pay for more than 12 physical therapy treatments for an insured for each accident unless, before any additional treatment is given, the corporation’s medical advisor or the insured’s medical practitioner certifies to the corporation in writing that, in his opinion, the treatment is necessary for the insured.’

Can physiotherapists bill ICBC outside MSP Teleplan?

ICBC billing and Claim Manager for Physiotherapists

Additional information for ICBC billing for physiotherapists

ICBC Billing for Chiropractors

Some B.C. chiropractors can use Claim Manager to bill ICBC by MSP Teleplan.

The flat fee and fee-for-service billing models for chiropractors

Does a patient have a choice between two ICBC billing plans?

ICBC Fee Schedule for Chiropractors

ICBC will pay for the necessary chiropractic treatments in accordance with the current ICBC Fee Schedule.

ICBC Payment Schedule for Chiropractors

00130
Initial visit
$22.27
00137
Subsequent visit
$17.35
00136
Emergency visit
$34.85
00133
Home Visit
$27.05
09935 – del
Prolonged visit – CNS
$35.90
09908
Home visit
$28.70
09903
1st add. area
$6.75
09913
2nd add. area
$6.75
09914
3rd add. area
$6.75

Can chiropractors bill their patients directly?

What information is required to submit 1st ICBC claim?

Can chiropractors on fee-for-service bill ICBC outside MSP Teleplan?

ICBC billing and Claim Manager for Chiropractors

Chiropractors on the fee-for-service program can use Claim Manager to bill ICBC, extended insurance plans and patients in one transaction. Charges to the extended insurance policies and patients are calculated as remainders after deducting the ICBC rates. If ICBC refuses to pay benefits on the grounds that the insured extended insurance policy is not exhausted yet, chiropractors can bill the extended plan first.

Additional information for ICBC billing for chiropractors

ICBC Billing for Massage Therapists

B.C. massage therapists cannot bill ICBC by MSP Teleplan.

How can massage therapists bill ICBC?

How much ICBC reimburses massage therapists?

Does ICBC billing by massage therapists require a physician referral?

What information is required for ICBC billing by massage therapists?

How often does ICBC makes payments to massage therapists?

Additional information for billing ICBC for massage therapy?

Are ICBC benefits subject to GST?

ICBC Billing for Occupational Therapists

B.C. occupational therapists cannot bill ICBC by MSP Teleplan.

What occupational therapists can bill ICBC?

How much ICBC reimburses occupational therapists?

What information is required for ICBC billing by occupational therapists?

How often does ICBC makes payments to occupational therapists?

Additional information for billing ICBC for occupational therapy?

ICBC Billing for Acupuncturists

Acupuncturists are not listed among ICBC business partners in health services and are not eligible to bill ICBC electronically by MSP Teleplan. Please contact the ICBC adjudicator of the patient to learn if your services qualify as permissive benefits on case by case basis. The ICBC adjudicator will explain you the billing process outside of MSP Teleplan if applicable.