Medical Services Plan

The policies and procedures for enrolling with MSP and receiving payment for the medical services provided to patients vary from one type of practitioner to the next. Find resources and information related to your specific type of medical practice.

Practitioner-Specific Information

Claim Submission & Payment

In order to be paid for the services a practitioner has provided to MSP beneficiaries, a claim must be submitted to MSP.  Learn more about how practitioners bill MSP, what happens if their claim is refused and what is being done to prevent unethical billing.

Replacement of Service Location Code A: Effective April 1, 2021

Effective April 1, 2021, Service Location Code A (Practitioner’s Office) for practitioner claims will be replaced with new codes. The change will be phased in over a six-month period, ending September 30, 2021. During the phase-in period, Service Location Code A will continue to be valid. As of October 1, 2021, claims submitted with Service Location Code A for services provided after September 30, 2021 will be refused.

Learn more about the update here.

Change to newly issued practitioner and payee numbers value: Effective April 1, 2022

Effective April 1, 2022, newly issued practitioner and payee numbers will be issued as alphanumeric values. Practitioner and payee numbers issued before April 1, 2022 will remain valid.
Learn more about the change.

Billing Integrity Program

The Billing Integrity Program provides audit services to the Medical Services Plan (MSP) and the Medical Services Commission (the Commission).

Opting Out of MSP

Physicians and supplementary benefits practitioners are not required to enroll with MSP. If a practitioner chooses to not enroll, they are allowed to charge patients more for a service than is set out in the applicable Payment Schedule. Learn more about the different choices for opting out.

Referrals for Services Outside of Canada

Sometimes it is in a patient’s best interest to receive medical services outside of Canada. If a B.C. specialist physician recommends medical treatment in another country, the specialist must request provincial coverage. Learn more about this process, including what types of medical services are permitted and how to request coverage.

Contact Us

If you have questions about MSP, contact us.