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Physiotherapists

​Do you provide physiotherapy to customers injured in a car crash? Here are a few things you need to know.

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.

Forms

When providing treatments for our customers, their ICBC Claims Contact may request you to submit this report:

Clinic treatments

Before starting treatment, please be sure to ask for your customer's claim number. This is all the information you need to begin treatment, however, we would also recommend you seek the ICBC Claims Contact information for future use.

 ICBC may fund up to 20 treatments before a physician needs to be involved. In the event a customer requires treatment beyond this limit, or if additional programs or services are required, please contact the ICBC Claims Contact responsible for the file to discuss your recommendations and seek approval.

Our rates for clinic treatments:

​Initial Visit:​$25.20
​Subsequent Visit:​$17.65
​Prolonged Visit:​$23.60
​Prolonged Visit CNS:​$35.90
​Home Visit:​$28.70
​Additional Area:​$6.75

(Up to three additional areas may be billed)

The customer is responsible for paying the fees exceeding the ICBC rate, if any.

For clinic visits, please submit treatment invoices to the B.C. Ministry of Health's Medical Services Plan via the Teleplan Portal.

If a physiotherapist is hired to perform one-on-one active sessions, these conditions apply:

  • Standard session is one hour
  • Session includes completion of charting and updates to other providers such as an occupational therapist
  • Pre-approval required if requesting longer session
  • Prorate if session is less than one hour or in a group setting

​Mileage:

​$0.47/km plus 50% of the hourly rate for travel

​Rec Centre Fees:

​In addition to your physiotherapist rate, ICBC will fund the drop in fees at rec centres for both the provider and the customer. Receipts are required. ICBC does not pay facility fees for use of a gym owned by the provider/firm or on their premises.

​Prohibited Costs: 

​Administration costs such as file opening or booking appointments and time allotted for leaving voicemail/messages/texting.

The customer is responsible for paying fees exceeding ICBC rates, if any.

In-home treatments

This treatment is used when the customer has a catastrophic injury that prevents them from travelling to a clinic.

Our rates for in-home treatments:

​Home Visit:

$85/hour. Session includes completion of charting and updates to other providers.

​Prohibited Costs: 

​Administration costs such as file opening or booking appointments and time allotted for leaving voicemail/messages/texting.

​Mileage:

​$0.47/km and 50% of the hourly rate for travel

The customer is responsible for paying fees exceeding the ICBC rate, if any.

Billing

Effective November 14, 2016, please complete our Health Service Provider Invoice for in-home and community sessions only. There is no change to Teleplan billing for clinic treatments. (NOTE: This form can only be used correctly if opened with Acrobat Reader XI and later, or Internet Explorer. If you're running Windows 7, the latest version of Internet Explorer that you can install is Internet Explorer 11) and email it to invoices@icbc.com. Please follow these guidelines:

  • Review the fee-for-service billing guide for additional information.
  • Only invoices are to be submitted to invoices@icbc.com. Do not send reconciliation lists or reports.
  • Individual invoices must be separate PDFs, with up to 20 invoices attached per email. One PDF document containing multiple invoices is not acceptable.
  • Include the claim number/customer name in the file name of each invoice attachment.
  • Do not send invoices previously submitted to ICBC. Duplicate invoices will cause processing delays.

These guidelines apply to both the new double-alpha files and older single-alpha claims.

Reporting

If a report or assessment is requested, please take note of the following guidelines and email to physiotherapists@icbc.com:

  • Submit only assessments or reports to physiotherapists@icbc.com. Do not send invoices or reconciliation lists.
  • Indicate the claim number in the file name of each report.
  • Documents submitted to ICBC can be a maximum of 25 megabytes per email.
  • Files must not be password protected.
  • Emailed drop box links and zip files are not acceptable.

Treatment guidelines

Physiotherapists are expected to assess patients and determine their treatment plans in accordance with 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.

Fees

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

​April 1, 2019

​Assessment visit & report​N/A​$250.00
​Standard treatment​$23.60 + $6.75 for each additional area (up to three per treatment)​$79.00 per treatment
​Pre-authorized number of treatments​20​25*

*Within 12 weeks of the date of the accident causing the injury 

Notes

  • 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 may 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 physiotherapists was hosted on Tuesday, March 12, 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.