Billing to WorkSafe BC – Chiropractic

If you’re practicing in BC, you should be eligible to submit your Worksafe BC Chiropractic Report 8C via our Teleplan integration.

Daily Visits and other forms can be submitted directly to WSBC’s My Provider Portal. For more information or to create an account, visit WSBC’s website.

To make things one step easier, we’ve integrated with the Medical Services Plan (MSP) Teleplan system so you can use Jane to handle all of your Initial Assessment WSBC submissions.

If you haven’t already done so, you will need to Sign Up with Teleplan and then Add Your Data Centre to Jane.

Additionally, you must apply for and sign a contract with Worksafe BC in order to become an approved provider. You can find more information about that here.

In the meantime, you can still set up the WSBC insurer and claims in Jane.

Note📝: If you’re unsure of which injury codes to use for these claims, you can head over to WSBC’s website for more detailed information: WorksafeBC Body Part Codes and WorkSafeBC Nature of Injury Codes (complete list).

For more information about any other fee codes you might need to bill for WSBC or for information regarding billing Chiropractic services to WSBC, please refer to Working with WorkSafeBC: A Guide for Chiropractors and their Chiropractic Services Fee Schedule.

Set Up the Insurer

Under Settings > Insurers, click on the New Insurer button in the top right and select the “WSBC - Teleplan” insurer type from the list or Create a New One to track this manually instead if you do not wish to use our integration.

At the bottom of the insurer details, you’ll want to make sure to leave the user fee field blank and uncheck the box for “patient pays remaining” as the entire cost of treatment is billed to WSBC as per their fee codes and guidelines.

Prepare the Profile

Teleplan requires certain pieces of profile information to accept claims.

Under the Edit view of the profile, ensure the following fields are complete:

First Name (LEGAL name only)
Last Name (LEGAL name only)
Birthday
Personal Health Number (PHN)
Legal Gender
Address (the province is the most important part, make sure that BC is entered just like that, no dots or spaces)

Create a Claim

You can review our guide for the basics of Creating a Claim. WSBC claims don’t vary too much from other claims you’d track through Jane.

The required fields are:

Claim number
Date of Injury
Area of Injury
Anatomical Position
Nature of Injury
End Date

These fields must match what has been approved on the claim. To check the status of the claim and what has been approved, you can visit Worksafe’s Claim Status page Here.

NOTE: If the patient has not yet been assigned a claim number or made a claim for a workplace injury you can use twelve zeroes as the claim number. Enter 000000000000 in the Claim Number field of the Claim.

You can leave the default fee codes blank, or you may want to add: #19381 - WorkSafeBC Chiro Daily Treatment.

All of the client's visits after their initial assessment will be Daily Visits. Since the majority of claims will be billed as such, it can be helpful to have the Daily Visit billing code populate for you and update that as needed when submitting reports.

WSBC’s rates can change annually, but Jane will always keep the billing codes in your account up to date. Using the Teleplan Billing Code in Jane will ensure you’re always submitting for the most current rate.

Billing the Claim to WSBC

Next, the claim needs to be attached to each appointment, and you will need to ensure that the appropriate billing code is listed in the Insurance area of the Appointment Panel.

8C (Chiropractor’s First Report)

Billing code: 19134

Fee: $110

The fee includes all services required to complete the Form 8C and the Initial Visit.

The Form 8C claim must be submitted via Teleplan within Jane.

NOTE: If you do not receive all the bonuses associated with 8C fee code (i.e. do not submit the report within 3 business days) you will need to Write Off the balance of the visit not paid by WSBC. You cannot bill the $15 to the patient

Also, it’s a good idea to avoid using special characters like apostrophes or accents in the report, as this can sometimes prevent the claim from going through.

When you’re ready, the claim can be submitted via Jane’s Teleplan Integration.

Daily Visit

Billing Code: 19381

Fee: $72

Fee to be paid per treatment session (minimum 15-minute duration) for the first 11 sessions after the Initial Visit and submission of the Form 8C.

All Daily Visit claims can be submitted to WSBC via Jane’s Teleplan Integration or directly via the My Provider Services portal.

If this claim will be submitted via the My Provider Services portal, you can click the arrow at the top of the claim and Disable Electronic Submission. This will allow you to Mark as Submitted once you have submitted it externally.

You can learn more about managing these claims within Jane in our Working with Claims Submissions guide.

11C (Chiropractor’s Discharge Report)

Billing Code: 19384

Fee: $40

The fee includes all services required to complete the Form 11C.

The Form 11C must be submitted to WSBC directly via the My Provider Services portal, so you can click the arrow at the top of the claim and Disable Electronic Submission. This will allow you to Mark as Submitted once you have submitted it externally.

You can learn more about managing these claims within Jane in our Working with Claims Submissions guide.

Note: This report is to be submitted within 7 days of the client’s final visit.

It’s recommended to set up the Form 11C as a Product in Jane, then open a WSBC claim for the product. The Price of the product can be WSBC’s current rate for the Form 11C.

You can learn more in our guides about Creating a Product and Selling a Product.

Arriving Appointment and Adding Form 8C (Chiropractor’s First Report)

Once you have added the appropriate billing code, you will “Arrive” the appointment.

In the “Billing Info” section, hover over the information so that a “View” tab appears. Click this “View” button.

Scroll to the Insurance section and click on the “Add Document” button.

Administrative staff can access the report from the main schedule, where they can complete all the known information.

Practitioners can access the report the same way or from their “Day” view. Click on the appointment for the patient and create a chart note. Use the “Edit Billing Codes Button” to access or start the report.

The completed report will be attached to the claim when sent to Teleplan. Always make sure that the Report is complete, with all boxes filled and with the correct information before you move the claim into the Queued area. Forms that are submitted with any blank fields will be rejected and may take more than one billing cycle to resolve.

Other WSBC Chiropractic Billing Codes

Extension Request Form 83D667 (Chiropractic Treatment Report)

Code: 19385

Fee: $50

Fee includes all services required to complete and submit the Chiropractic Treatment Report

Occurs when the chiropractor deems treatment to be medically necessary beyond the initial 11 sessions or 8 weeks of treatment.

The Extension Request Form must be submitted to WSBC directly via the My Provider Services portal.

Note: This report is due by the 6th week or 8th session, whichever occurs first.

It’s recommended to set up the Extension Request Form as a Product in Jane, then open a WSBC claim for the product. The Price of the product can be WSBC’s current rate for the Extension Request Form.