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Do you provide chiropractic treatments to customers injured in a car crash? Here are a few things you should know.

ICBC offers two payment methods to serve our mutual customers: the flat fee payment or fee for service.

Customers who have coverage through ICBC can begin chiropractic treatment immediately after they report their injury to ICBC. Customers only need to provide their chiropractor with their ICBC claim number to start treatment. You do not need to call ICBC for prior approval unless the customer was potentially a worker at the time of the accident, or more than 8 weeks have passed since the date of the injury and the patient is not receiving any other health services.

As of April 1, 2019, ICBC is making the way you invoice for treatments and submit reports and requests more straightforward through a web-based form. Future invoicing will require the need for a vendor number. Please visit our Invoicing and reporting page for more information and to apply for your vendor number if you do not already have one.

Fee-for-service billing

If you are providing fee for service prior to April 1, 2019, please submit treatment invoices to the B.C. Ministry of Health's Medical Services Plan. Review the Fee-for-service billing guide for more information.

Treatment guidelines

Chiropractors are expected to assess patients and determine their treatment plans in accordance with the BC Chiropractic Association practice standards, using evidence-informed practice when establishing a diagnosis and providing treatments.

As of April 1, 2019, when treating a patient with an injury listed in sections 3 or 4 of the Diagnostic and Treatment Protocols in the Minor Injury Regulation made under the Insurance (Vehicle) Act, a health care practitioner must educate the patient with respect to the following:

(1) (a) if applicable, the desirability of an early return:

a. to the activities the patient could perform before the injury, or

b. to the patient's employment, occupation or profession or the patient's training or education in a program or course;

(b) an estimate of the probable length of time that symptoms will last;

(c) the usual course of recovery;

(d) the probable factors that are responsible for the symptoms the patient may be experiencing;

(e) appropriate self-management and pain management strategies.

(2) When treating a pain syndrome and a psychological or psychiatric condition, a health care practitioner must identify comorbid conditions, if applicable.

Note: Oversight is the responsibility of a practitioner to ensure treatment plans are in alignment with the treatment goals of the primary care provider(s). This may involve sharing of the assessment findings and treatment recommendations with the primary care provider, in accordance with the association's information sharing guidelines.

Changes to invoicing & reporting

As of April 1, 2019, ICBC is making the way you invoice for treatments and submit reports and requests more straightforward through a web-based form. Future invoicing will also require the need for a vendor number. More information about the new form, invoicing process and vendor number application will be made available in February. ​Visit our Invoicing and reporting page for more information on this process.


Effective April 1, 2019, fees listed in the below payment schedule are based on a standard treatment, rather than being charged at an hourly rate. The provincial government has updated the treatment fees that ICBC will cover for care and treatment after a crash. This has been outlined in the Insurance (Vehicle) Act and is highlighted in the table below.

Payment schedule

​Current state - fee for service​Current state - flat fee program​April 1, 2019
​Assessment visit & report​N/A​$220.00 (including two weeks of treatments)​$199.00
​Standard treatment​$17.35 per treatment​N/A - treatment blocks​$53.00 per treatment
​Pre-authorized number of treatments​20​$1,165.00 (including up to 19 weeks of treatments)​25*
*Within 12 week of the date of the accident causing the injury


  • ICBC customers who choose to visit a health care practitioner that charges a higher rate than what ICBC funds under accident benefits (indicated above), will not be able to recover the user fees from ICBC for claims with a date of loss on or after April 1, 2019. This will mean that the patient is responsible for paying the user fee portion, which they may submit to their private health insurer for consideration of coverage.
  • Treatments are based on sessions provided and fees reflect fair market rate for a standard industry visit. Treatment frequency will be based on clinical recommendations and should reflect best practice. However, multiple sessions provided by the same discipline, on the same day, will not be funded.

To see the current list of fees applicable to all treatments up to and including March 31, 2019, please refer to the BC Medical Services Plan Schedule.

Forms & templates

Additional resources will be coming soon. 

Contact & support

For additional support and information, visit ICBC's changes to insurance page, which provides resources, communication materials and information to support you and your patients through the changes.

You can also complete our feedback form to forward general questions about treating ICBC customers, or to request additional information about any of the enhancements that ICBC is implementing, as part of the move to a care-based model.

Webinar recording

To help you navigate through the changes, a webinar for chiropractors was hosted  on Friday, March 15, 2019. This webinar covered fees, invoicing & reporting, contact & support, learning resources, scenarios, and had an open Q&A.

If you were unable to attend this session, you can listen to a recording of the webinar.  

 Chiropractic flat fee program