Claim Manager is so simple, you can do your billing yourself.
Quick Links Around the Page
- 1 Simple MSP Billing Software for Physicians
- 2 Educate yourself about MSP billing for physicians.
- 3 MSP Billing Statistics For Physicians.
Simple MSP Billing Software for Physicians
Join Claim Manager instead of hiring a medical billing administrator for your medical practice.
Distribution of Physians by MSP Revenue
Almost third of MSP-enrolled physicians received less than $100,000 in payments in the year 2013/2014. Is it enough to have a billing administrator on payroll?
Less than $99,999
$100,000 to $199,999
$200,000 to $299,999
$300,000 to $399,999
$400,000 to $599,999
$600,000 and greater
Select custom user interface for your medical occupation.
One size does not fit all. We simplified your billing decisions by creating a custom user-interface for many occupations. Some profiles include:
Do not overthink the billing codes.
Seventy percent of all billing items for specialists are for consultation and returns.
Seventy nine per cent of all billing items for general practitioners are for regional examinations.
Ninety two per cent of all billing items for surgical staff are for anesthesia and surgery.
Keep all billing in one place.
Do all your billing in one software. That will make your revenue reporting a breeze.
Bill MSP for insured benefits per the MSP payment schedule.
Bill patients for services not covered by MSP per your private fee schedule.
Bill patients for the difference with MSP fees if opt out.
Educate yourself about MSP billing for physicians.
What medical services are MSP benefits?
- medically-required services of a physician, or of a specialist (such as a surgeon, anesthetist or psychiatrist) when referred by a physician;
- maternity care by a physician or by a midwife;
- diagnostic services, including x-rays and laboratory services, provided at approved diagnostic facilities, when ordered by a registered physician, midwife, podiatrist, dental surgeon or oral surgeon;
- dental and oral surgery, when medically required to be performed in hospital (excluding restorative services, i.e.: fillings, caps, crowns, root canals, etc.)*;
- orthodontic services related to severe congenital facial abnormalities;
- medically required eye examinations provided by an ophthalmologist or optometrist; and
- surgical podiatry.
- routine physical examinations performed for reasons other than medical necessity;
- medical examinations, certificates or tests required for life insurance, a driver’s licence, school, immigration, employment, etc.;
- cosmetic surgery for the alteration of appearance;
- restorative or other dental work performed in a dental office;
- eyeglasses, hearing aids, and other equipment or appliances;
- the services of counsellors or psychologists;
- routine eye examinations for beneficiaries between the ages of 19 and 64; and
- chiropractic, physiotherapy, naturopathy, massage therapy, acupuncture, and non-surgical podiatry services for persons not receiving MSP premium assistance.
- operating room or surgical suite fees
- surgical supplies and
- service charges over and above what is insured by MSP.
- 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.
Find your MSP fee schedule
What physicians can bill MSP
- is licensed by the College of Physicians and Surgeons of British Columbia (CPSBC),
- provides services listed in the MSC Payment Schedule and other payment schedules to eligible patients, and
- enrolled with MSP.
- a practitioner number, which identifies the practitioner rendering the service, and
- a payment number, which identifies the person to whom payment is to be made.
What patients are MSP beneficiaries?
MSP Enrollment for the PatientsUnder the Medical Protection Act, eligible residents of B.C. must enroll themselves and their dependents with Medical Services Plan (MSP). If your patients have questions about MSP enrollment eligibility, please refer them to the MSP eligibility and enrollment web page.
BC Services CardMSP enrollment is confirmed by issuing an applicant the BC Services Card (former BC CareCard). Being presented with the healthcare card is not enough to verify patient’s MSP enrollment because the patient may carry a prematurely expired MSP card. To verify the patient’s MSP eligibility on the date of service, practitioners need to make an eligibility inquiry to MSP.
- Request an instant MSP eligibility 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 an 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.
- “Is Eligible for Medical Coverage Under MSP” on the date of service.
Find the right ICD-9 diagnostic code
Do you qualify for rural retention program bonus?
Select the right location code for your claims
MSP Billing Statistics For Physicians.
GP account for the largest number of MSP payees.
Other medical occupations by number of payees
Excluding general practice and laboratory medicine
Obstetrics & Gynaecology
Other 30 specialties
The four top specialies by MSP patient count