Our fee schedules set out the rates we pay for hospital services. Please make sure you use our fee codes in your reporting and invoicing. Only services listed in the following fee schedules can be covered:

• WorkSafeBC Health Authority Fee Schedule.
• MSC Payment Schedule
• WorkSafeBC / Doctors of B.C. Unique and Form Fees detailed fee schedule.

You can download a desk reference of the BCMA/WorkSafeBC Agreement fee schedule.

Please follow these instructions when completing your reports to us:

Physician’s first report

If you’re a physician who sees injured workers in Emergency, report your services to us using Physician's First Report (Form 8/11).

Please use Form 8/11 if any of the following apply:

• You suspect your patient may be disabled beyond the date of injury
• Your patient's claim is for a back injury, hernia, shoulder or knee strain/sprain, occupational disease (e.g., repetitive strain injury, cancer, work-related asthma, or work-related dermatitis), or mental disorder
• Your patient’s injury doesn't meet criteria but we request a Form 8/11

If you need help completing your reports, please refer to the Physician Form 8/11 Reference Guide.

You will need to submit your surgeon's operating room report and the anesthetic record before we can process your payment. You need to include surgical time in the anesthetic record.

All medical imaging reports (MRI, X-Ray, CT-Scan) need to be submitted to us before we can process your payment.

The following information needs to be included on all invoices you submit to us:

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

For some fee codes, your invoice may also need to include the following information:

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

We pay in-patient per diem fees based on fixed inter-provincial rates. This includes hospitalization costs such as:

• 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

Your invoice needs to indicate each date of service as a separate line item.

We do not pay per diem fees for the day of discharge, or on the same date as service, for:

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

Your invoices for out-patient physiotherapy should be based on the WorkSafeBC Health Authority Fee Schedule.

When you provide outpatient physiotherapy services at hospitals or facilities operated by Health Authorities, use fee code 19305 "WorkSafeBC PT (Hospital) - Daily Rate." This applies to services provided to an injured worker during a physiotherapy visit, which may include:

• Assessment
• Treatment (excluding home visits)
• Reporting
• Hydrotherapy
• Miscellaneous supplies such as theraband or tubigrip

Out-patient physiotherapy reports

Please use Physiotherapy Hospital Report (83D346). Submit your physiotherapy reports according to the following timeframes:

• Initial assessment report - within three business days of the initial visit
• Progress report - no later than every 15 business days of treatment
• Discharge report - within three business days of discharge
• Requested report – when requested by us

Please submit your invoice within 90 days of the date you provide service to an injured worker. This will help us pay you sooner. You can submit completed paper invoices by fax to:

• 604.233.9777 in the Lower Mainland
• Toll-free 1.888.922.8807 elsewhere in Canada

More information on billing is provided in the Medical Services Commission Payment Schedule.

If there's a problem with your invoice, we'll send you a letter explaining why we're requesting corrections.

The fastest, easiest way to check the status of your invoice is through our online check invoice status tool.

We’re here to help. Please contact our Payment Services team.