Direct Insurance Billing

We will collect your insurance information (i.e. policy and ID numbers) using our electronic new patient form prior to your first visit or at the time of your visit. We can then access the insurance payment system online through a web-portal. The web portal will give us the exact amount that your benefits plan will pay and any amounts remaining that you need to pay.

You will need to pay the remainder of the treatment fee, according to the web-portal reply. For example, if you are covered for 80% of a $90 visit fee, you will pay $18. This depends on your individual insurance coverage and web-portal response. It may also depend if your plan has any deductible payments required.

While we offer a range of services including manual therapy, hand therapy, IMS, shockwave, spinal decompression and much more, the treatment type is based on the practitioner providing the treatment (i.e. physiotherapist). Therefore any treatments provided by a physiotherapist should be eligible for direct billing. Hand Therapy provided by an Occupational Therapist and ‘Active Rehab’ sessions with a Kinesiologist are likely NOT eligible for direct billing or any extended benefits reimbursement. Each individual plan has different coverage with regards to each treatment type.

The web-portal is designed for clinics to create submissions in real time. It works very similar to a credit card terminal – it can collect the payment, but it can’t check the card balance. With some insurance providers, we can complete a pre-authorization that may provide some limited information.

If you want to check your coverage, remaining balance, deductible or other benefits related policies, please contact your insurance provider directly.

No, we can only direct bill for completed treatments.

No, we can not. Extended benefit insurance providers do not allow more than 1 submission for the same treatment type (i.e. physio treatment) on the same day. If it is a different practitioner type, for example a registered massage therapist and a physiotherapist, then yes you could direct bill for these 2 different types of services.

Typically No. Physiotherapy is considered a ‘direct-access’ service in BC which means a doctor’s referral is not required. Some individual benefit plans may require a doctor’s referral but it’s very rare. ICBC and WSBC may require a doctor’s referral after the initial ‘pre-approved’ treatment block but they will advise you if required.

Each plan is individual to the member. Insurance companies can have many different plans. For example, Pacific Blue Cross can cover as little as 10% of treatment to 100% coverage. Your coverage depends on what your employer has negotiated and purchased on your behalf.

Great – You do not need to pay anything extra for your treatment!

Yes we MAY be able to coordinate direct billing across 2 different insurance companies. More insurance companies are allowing this option. We would be happy to check for you. If we’re not able to coordinate direct billing, we will supply you with a receipt of your primary insurance statement of direct billing submission and the balance you paid. You can then submit that receipt to your secondary coverage for reimbursement directly to you.

You will get a receipt only for the remaining portion that you pay in the clinic. We can print the statement of direct billing submission to the web-portal if you would like a copy.

You will pay for your appointment the regular way i.e. cash, debit or credit card. We will provide you with a receipt which will allow you to submit to your plan for reimbursement.