In order to receive payment from MSP for insured services provided to eligible patients, physicians must first enrol with MSP to receive a billing number. After they have enrolled and received their billing number, physicians can submit claims to MSP for services listed in the MSC Payment Schedule and other payment schedules. The following information will help you to enrol and submit claims as well as keep you up-to-date on the latest MSP news and information for physicians.
Physicians who are licensed by the College of Physicians and Surgeons of British Columbia (CPSBC) are eligible to enrol with MSP and obtain MSP billing numbers.
Enrolment status, and, therefore, the possession of an active billing number, is contingent upon the practitioner's continued licensure by the CPSBC. Any change in licensure, such as the renewal of a temporary license or specialty, must be reported to MSP to avoid refusal of claims.
The MSC Payment Schedule is the list of fees approved by the Medical Services Commission payable to enrolled physicians for insured medical services provided to beneficiaries enrolled with MSP.
Diagnostic Code Descriptions
All claims submitted by physicians to MSP must include a diagnostic code. This information allows MSP to verify claims and generate statistics about causes of illness and death. The diagnostic codes used by MSP are based on the ninth revision of the International Classification of Diseases developed by the World Health Organization, commonly referred to as ICD-9.
Business Cost Premium
Effective April 1, 2020, eligible physicians will be able to claim a new Business Cost Premium (BCP) on fees for Consultation, Visit, Counselling, and Complete Examination services to help cover the rising rent, lease, or ownership costs of a community-based office.
To learn more information regarding MSP Tutor, Medical Office Assistant Billing Guide, Physicians’ Newsletters and Intraocular Lens Policy, please click on the link below:
Patient Expectations on Fees and Charges
To learn more about what patients expect regarding fees and charges, please click on the link below:
Medical Assistance In Dying (MAID)
Information for health care providers about medical assistance in dying (MAID) including Physician billing directions.