Health services

Physicians

Are you a physician treating a patient with injuries sustained in a car crash? Here are a few things you should know.​​​

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​Fees

The ​​​​Insurance (Vehicle) Regulation (schedule 3.1) and Enhanced Accident Benefits Regulation outlines legislated fee limits for specific services and reports by family physicians who are treating patients injured in a motor vehicle accident. These fees apply to patient visits in which an assessment occurs and a medical report is completed by the physician. For more information, refer to the Fee Guide on Doctors of BC fee guide​.

The tables below outline the type of visits that may occur, which medical reports should be completed and the fee that ICBC will pay upon receipt of the report.

Medical report fees

Report

Description

Includes

Fee

Family Physician Standard Medical Report* (CL489)

Patient's injuries do not result in missed work or school or in significant impairment of activities of daily living.

Assessment and report

$140

(Code A94564)

​Family Physician Extended Medical Report*
(CL489A)

Patient's injures result in missed or modified work or school or in significant impairment in activities of daily living.

Assessment and report

​$380

(Code A94565)

Family Physician Reassessment Medical Report
(CL489B)

​Patient's injuries not recovering as expected and an updated care plan or change in diagnosis is required.

Provided proactively or upon request by ICBC. Not required at regular intervals or with every follow-up visit.

​Reassessment and report

​$245

(Code A94566)

Physician Specialized Services Report
​(CL489S)​

Only for physicians completing a consultation from another physician or nurse practitioner.

Includes Specialists and family physicians with focus on Sports Medicine.

Only for patients whose accident occurred​​ on May 1, 2021 or later.

​Report only

​$275

(Code A94573)

*A family physician completes either an FP Standard or FP Extended Medical Report after the initial assessment, not both.​ A report is required for each new claim.

Other fees

Other 

​Description

Fee

​Physician conference fee**

​​Communication (written or verbal) between most responsible provider (MRP) and ICBC or other treatment providers.

​$64.14 for 15 minutes (or portion thereof) to a daily maximum of 45 minutes per claim

(Code A94569)

​Scarring measurement report

Patient's injuries result in a permanent scar. Completed only upon request by ICBC.

​$64.14 per report

(Code A94575)

Range of motion loss report

​​Patient's injuries result in permanent range of motion loss for a specific joint or area of the body. Completed only upon request by ICBC.

​$128.28 per report

(Code A94577)

​**The physician conference fee is not for arranging expedited consults or diagnostic investigations, or conveying the results of ​diagnostic investigations.

Invoicing and reporting

When a patient attends an appointment for the purpose of completing a medical report to send to ICBC, the report itself serves as both the medical record and invoice. The medical report includes space for an invoice number.

Note: If submitting a scarring measurement or range of motion loss report, a separate invoice is required. 

Reports should be submitted to ICBC no later than 4-6 weeks from the date of assessment.

All invoices and reports must include​:

  • ​​​ICBC claim number

  • Date of accident

  • Payee name

  • Payee address

  • Patient name​​

ICBC can not process payment if any of the above information is missing.

Note that ​ICBC does not prepay for reports and does not pay for visits occurring after a claim closes or for missed or cancelled appointments.

​Invoices and reports should be submitted to ICBC via fax (1-877-686-4222) or mail:

PO BOX 2121, STATION TERMINAL
VANCOUVER, B.C.
V6B 0L6

Medical Services Plan

Patient follow-up visits with no medical reports and consultations for the Physician Specialized Services Report ​should be billed through Teleplan using the standard MSP visit codes with ICBC selected as the insurer.​​​

To update payment information for services that are invoiced via MSP-Teleplan, you must contact MSP-Teleplan directly. ICBC does not maintain payment details for items invoiced through MSP-Teleplan.

Report templates

Reports are al​so available on the Forms Repository in Pathways.

Electronic Medical Record (EMR)

ICBC has integrated family physician medical report templates into several common EMR solutions. Please ensure you are following the required steps of your respective EMR solution.

If your EMR solution does not house the report and your EMR provider has not integrated the reports into their software, you can download it and send it to ICBC by fax or mail.

Treatment guidelines

Physicians are expected to assess patients and determine the recommended care plan in accordance with the College of Physicians and Surgeons practice standards, using evidence-informed practice when e​​stablishing a diagnosis and providing treatments.​

​Obtaining patient consent

It is important to discuss with your patient the purpose of the reports. Please ensure reports or information are shared with ICBC only where patient consent has been granted or where requested under legislation.

The CL489 series of medical reports may be requested by ICBC under Section 28/28.1 of ​the Insurance (Vehicle) Act.​​

When a patient has not granted consent to share a CL489 report with ICBC, the physician must alert ICBC via the Health Care Inquiry Unit (HCIU). ICBC will send the Health Care Provider Report Request Letter (CL491) to the health care provider outlining applicable legislation that permits ICBC to obtain the report.​

Vendor number

If you are a physician already providing services to ICBC patients and wish to be paid directly for reports and other non-MSP services, your vendor number can be found on any recent cheque or EFT statement that you received from ICBC. This is an ICBC-specific account number that is automatically generated the first time an office visit is billed via MSP-Teleplan. The ​Health Care Inquiry Unit​ can confirm the ICBC vendor number that matches your MSP record. For any account updates or changes, please contact MSP-Teleplan.

If you are a physician not already providing services to ICBC patients and a clinic that only employs physicians and no other treatment providers (e.g. physiotherapist, chiropractor, counsellor that see ICBC patients), you can apply for a vendor number. ICBC can issue payments directly to your account via electronic fund transfer (EFT).  Vendor number requests or updates to an existing vendor number can be made by using the “Apply for a vendor number” button below.

If you are a clinic that employs physicians and other treatment providers (e.g. physiotherapist, chiropractor, counsellor that see ICBC patients), vendor number application requirements for other treatment providers can be found at Apply for or update a direct billing vendor number.