Allied health professionals can bill only one code to MSP, so we made their billing software really simple.
Quick Links Around the Page
- 1 Simple MSP Billing Software for Allied Health Professionals
- 2 Educate Yourself About MSP Billing for Allied Health Professionals.
- 2.1 What allied health services qualify for MSP coverage?
- 2.2 MSP fee schedule for allied health professionals
- 2.3 What MSP beneficiaries qualify for allied health services?
- 2.4 How to check MSP coverage for allied health services
- 2.5 F.A.Q. about MSP coverage for allied health services
- 2.6 MSP billing options: opt in, soft opt out and hard opt out
- 2.7 Allied health services that are not the benefits of MSP
- 2.8 MSP resources for allied health professionals
- 3 MSP Billing for Your Health Profession
Simple MSP Billing Software for Allied Health Professionals
Claim Manager makes MSP billing for allied health professionals as simple as it gets.
Acupuncturists & TCM
Bill MSP for acupuncture service: code 00142, $23.00
Bill MSP for chiropractic service: code 00138, $23.00.
Bill MSP for physical therapy: code 09938, $23.00.
Bill MSP for massage therapy: code 09948, $23.00.
Bill MSP for podiatry visit: code P00189, $23.00.
Bill MSP for naturopathy service: code 00145, $23.00.
Create MSP claims quickly, without mistakes.
Select date of service, check coverage, submit claims. Done.
MSP Coverage Check
An estimate of MSP benefit is provided for each claim, including past services.
Pre-loaded Fee Codes
MSP billing codes and amounts are pre-loaded for each health profile.
Multiple claims at once
Bill for up to ten visits with one claim form. Be ten times as efficient.
Bill many payees at once.
If one payee does not cover the fee, bill the balance to other payees.
Bill MSP, group insurance plans and patients.
Bill MSP, WorkSafeBC, ICBC, group insurance plans and patients.
Bill MSP, ICBC, WorkSafeBC, group insurance plans and patients.
Bill MSP, WorkSafeBC, group insurance plans and patients.
Bill MSP, group insurance plans and patients.
Bill MSP and patients.
Claim Manager is the only software that integrates MSP billing with billing of group benefits plans and direct patient billing.
MSP payments by allied health services
In the financial year 2013/2014, MSP premium assistance patients predominantly sought out chiropractic and acupuncture services. Massage therapy and naturopathic services were the least popular, possibly because fewer massage therapist and naturopathic doctors are enrolled with MSP or offer MSP billing for their patients.
Want loyal customers? Offer to submit their insurance claims.
Educate Yourself About MSP Billing for Allied Health Professionals.
What allied health services qualify for MSP coverage?
- massage therapy
- acupuncture and
- non-surgical podiatry.
- bill MSP for services only to the patients who are eligible for MSP supplementary benefits coverage and
- charge their patients more than covered by MSP (opt out of MSP Fee Schedule). The difference is paid by patients out-of-pocket.
- chiropractic, physiotherapy, naturopathy, massage therapy, acupuncture, and non-surgical podiatry services for persons not receiving MSP premium assistance.
- bill MSP for the insured benefits,
- bill patients and/or group benefits plans for the fee difference if opt-out,
- bill patients and/or group benefits plans for services excluded from MSP coverage.
MSP fee schedule for allied health professionals
- 00138 – Chiropractic Service: $23.00
- 00142 – Acupuncture Service: $23.00
- 09938 – Physiotherapy Service: $23.00
- 09948 – Massage Therapy Service: $23.00
- 00145 – Naturopathy Service: $23.00
- P00189 – Podiatry Visit: $23.00
- that they have opted out;
- how much is reimbursed by MSP; and
- how much the patient will be paying in addition to the MSP fee.
What MSP beneficiaries qualify for allied health services?
- MSP Regular Premiums patients and
- MSP Premium Assistance patients (regular and temporary).
- MSP Premium Assistance Recipients;
- Income Assistance recipients;
- Convention refugees;
- Inmates of B.C. Correctional Facilities;
- Individuals enrolled with MSP through the At Home Program;
- Residents of long term care facilities receiving the Guaranteed Income Supplement (GIS);
- Individuals enrolled with MSP as Mental Health Clients; and
- First Nations individuals with valid B.C. Medical Plan coverage through the First Nations Health Authority.
How to check MSP coverage for allied health services
- The patient “Is Eligible for Medical Coverage Under MSP” and
- “Subsidy Insured Service: SERVICES PAID TO DATE” is less than 10.
- “Services paid to date” shows the number of MSP supplementary visits paid in the current calendar year. The maximum number of paid services is ten.
- Applies only to physiotherapists, chiropractors, naturopaths, registered massage therapists, acupuncturists and non-surgical podiatrists.
- Request an instant MSP coverage report in Claim Manager.
- Call the automated Practitioner Information Line:
- Victoria: (250) 952-3102 or (250) 383-1226
- Vancouver: (604) 669-6667
- Toll-free: 1 800 742-6165
- Use MSP Web Access.
- Fax a request on a coverage research form if the PHN is unknown:
- fax: (250) 952-3101.
- The services are listed in order of convenience.
- The patient’s personal health number (PHN) must be provided for steps 1, 2 and 3.
- MSP Teleplan registration is required for steps 1 and 3.
- Practitioner Information Line is an automated service that handles coverage inquiries using an interactive voice response (IVR) system.
F.A.Q. about MSP coverage for allied health services
- Submit your claims as soon as possible.
- Ask your patients if they have visited another supplementary benefits practitioners in the last two weeks.
- Do not go over the limit of ten claims yourself.
- Check eligibility on the date of service and do your billing same day. Do not procrastinate.
MSP billing options: opt in, soft opt out and hard opt out
Allied health services that are not the benefits of MSP
Appendix A – Medical and Health Care Services Regulation (Part 4)Services of Health Care Practitioners Definition 16. In this Part, “adequate clinical record” means a record of a health care practitioner, prepared in accordance with the applicable payment schedule, that contains sufficient information to allow another practitioner of the same profession, who is unfamiliar with both the beneficiary and the attending practitioner, to determine from that record, together with the beneficiary’s clinical records from previous encounters, information about the service provided to the beneficiary including: (a) the date, time and location of the service; (b) the identity of the beneficiary and the attending practitioner; (c) if the service resulted from a referral, the identity of the referring practitioner and the instructions and requests of the referring practitioner; (d) the presenting complaints, symptoms and signs, including their history; (e) the pertinent previous history including family history; (f) the positive and negative results of a systematic inquiry relevant to the beneficiary’s problems; (g) the identification of the extent of the physical examination and all relevant findings from that examination; (h) the results of any investigations carried out during the encounter; (i) the differential diagnosis, if appropriate; (j) the provisional diagnosis; (k) the summation of the beneficiary’s problems and the plan for their management. For the purposes of Section 16, clinical records must be created and maintained in English.
MSP resources for allied health professionals
MSP Billing for Your Health Profession
Click on your specialty to learn more about MSP billing for your profession.