Whether you're billing from an encounter, from the Visits dashboard or from the Insured Billing area of the patient's chart, the process for adding billing items (service codes) to a bill is the same. From the Billing dashboard, you can also open bills and modify billing items as long as the bill's status allows you to edit the bill.

Steps

1. Start a bill from an encounter, from the Visits dashboard or from the patient's chart. If you're editing a bill, open the bill from the Billing dashboard.

2. Perform one of the following actions:

  • If you're billing from an encounter, at the top of the Billing Items area, click Insured Billing.

  • If you're billing from the Visits dashboard or from the Insured Billing area of the patient's chart, to add a billing item, click +Add Fee Item.

  • If you're modifying a billing item, click the billing item

The Edit Teleplan Billing Item window opens.

3. Using the following table, complete the applicable fields.

Field

Description

Code / Description

1. To search for the service code:

  • by code, in the first search field, start typing the code.

  • by description, in the second search field, start typing the description.

2. In the list of matches, select the code you want.

πŸ’‘ Tip: To set a service code as a favourite, in the list of matches, select the star icon beside the code. Every time you create a bill, starred favourites appear first in the Code/Description search list.

⚠️ Important: If this is an age-based code (for example, 00100), you must select the correct code for the patient's age group. The CHR does not auto-correct the code for you.

Base Amount

The fee amount for the code you selected is automatically populated. You can edit the amount if needed.

%

To reduce the fee by a percentage (for example, if this is the second service you're billing for and it's billed at 50%), in the drop-down, select the percentage.

πŸ“Œ Note: Even if you do not see the fee reduce in the Edit Teleplan Billing Item window, the fee is reduced on the bill.

Quantity

If the code requires time units or number of services, type the number in the field.

Diagnosis Codes

Diagnosis codes recorded in the Assessment section of the encounter, may be pre-populated in the bill (if your billing settings are set to do so).

Otherwise, enter the diagnosis code, or start typing a description to search for and select a diagnosis code from the list.

Another search field appears, prompting you to enter another diagnostic code. Enter another code or click inside the Edit Teleplan Billing Item window to exit the search field.

πŸ’‘ Tip: To set a diagnostic code as a favourite, in the list, select the star icon next to it. Every time you create a bill, starred favourites appear first in the list.

Service Location

The Service Location defaults to your primary service location (typically [L] Longitudinal Primary Care Practice for GPs). To modify the service location, in the list, choose the one you want.

πŸ’‘ Tip: To set or modify you default service location, see Configuring your default service location code (Teleplan)

Service Date

If you started the bill from an encounter (that was started from an appointment) or from the Visits dashboard, the Service date matches the appointment date.

If you started the bill from the Insured Billing area of the patient's chart, the date defaults to the date you created the bill.

To change the date, click the calendar icon.

Time Spent (Minutes), Start Time and Finish Time

If you started the bill from an encounter (that was started from an appointment) or from the Visits dashboard, the Start Time matches the appointment time. The Time spent (minutes) and Finish time is pulled from the appointment type.

If you started the bill from the Insured Billing area of the patient's chart, the Start Time defaults to the date you created the bill.

To change a time, click the clock icon.

Edit Note

To include a comment to MSP regarding this billing item (for example, if this is a late submission):

  1. Click Edit Note.

  2. In the Note window, type the comment and click Update.

See Adding notes to billing items (service codes) on provincial (MSP) bills.

ICBC Claim

If this billing item is for an ICBC (motor vehicle accident) claim, select this checkbox and type the Claim Number.

πŸ“Œ Note: Don't include any hyphens (-) or letters in the claim number.

πŸ’‘ Tip: If you don't know the claim number, you can leave this field blank.

WSBC Claim

If this billing item is for a WorkSafeBC (WSBC) claim, select this checkbox and then, in the WSBC Additional Fields area, enter the claim details.

πŸ“Œ Note: If a claim was previously submitted for the patient from the CHR, you're prompted to auto-fill the claim details with the previous claims details.

For more information on WSBC billing, see:

Shadow Bill

This checkbox - which is selected by default - displays only if your account is set up for shadow billing. Select the checkbox to indicate that this is a shadow bill.

πŸ“Œ Note: If you do not see the Shadow Bill checkbox and you require the ability to shadow bill, contact us so we can configure your account accordingly.

πŸ“Œ Note: If you need to submit a billing item (service code) as fee-for-service instead, do not clear the Shadow Bill checkbox. Instead, you must bill under a different user account that is set up for fee-for-service billing. Contact us for more details.

See Shadow billing for provincial (MSP) claims.

Pay Patient Opted Out

If this patient is not eligible for Teleplan coverage (for example, if they opted out of MSP coverage or the service is not covered by MSP), select this check box.

Show Advanced Fields

Select to see the following additional fields:

Facility Number

If a facility number is required for the claim (for example, for service code 900), or if you're entitled to a BCP incentive, in the drop-down, select your facility.

πŸ“Œ Note:


Ref Facility Number

If the claim requires a referring facility number, in the drop-down select the facility.

πŸ“Œ Note: If the facility you want isn't available in the list, contact the TELUS Health support team


Service Clarification Code
If you're entitled to a rural retention incentive (i.e. your clinic is located in a rural region), in the drop-down, select your rural retention code/region.

πŸ“Œ Note: Your default rural retention code should automatically populate the field. See Setting your default rural retention code for provincial (MSP) billing items.


New Born
If the patient is an infant who hasn't yet received a provincial health number, select this checkbox and enter the Mother PHN.

See Billing MSP for a newborn baby without a provincial health number (British Columbia).


Referring Practitioner

To add the referring provider (provider who referred the patient to you):

  1. Select this check box.

  2. Under referring practitioner 1, in the Type drop-down, select By.

  3. Search for the provider from your contacts: Click the Search icon, and search for the provider by name, specialty, facility, etc.

πŸ“Œ Note: If the patient has a referring practitioner recorded in their chart, the provider is automatically added.

If the claim is for a no-charge referral, to add the refer-to provider (provider you're referring the patient to):

  1. Select this check box.

  2. Under referring practitioner 1, in the Type drop-down, select To.

  3. Search for the provider from your contacts: Click the Search icon, and search for the provider by name, specialty, facility, etc.

See Attaching a referring provider to an MSP claim.


Sub-Referring Practitioner

If the claim requires both a referring provider and a refer-to provider:

  1. After you enter the referring provider or refer-to provider under referring practitioner 1, select the Sub-Referring Practitioner checkbox.

  2. Under referring practitioner 2, in the Type drop-down, select either By (if this is the referring provider) or To (if this is the refer-to provider).

  3. Search for the provider from your contacts: Click the Search icon, and search for the provider by name specialty, facility, etc.

See Attaching a referring provider to an MSP claim.

Show Submission Fields

To modify the submission details for the claim, select this checkbox. The following fields appear:

Submission Code

By default Automatic is selected - which links the correct submission code to the claim automatically.

To manually change the submission code (for example, if you're resubmitting the claim as a debit request), in the drop-down select the code.


Original MSP File Number

If a response for this claim has come back from MSP, the MSP File Number is automatically added here.

3. To save or update the billing item, click outside the Edit Billing Item window. The service code is added to or updated in the bill.

Updated: January 11, 2022

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