If a provider is salaried or paid through an alternative payment plan, and they shadow bill MSP for services, in the CHR their user account must be set up for shadow billing.
When a provider's user account is set up for shadow billing, when you add billing items (service codes) to the provider's MSP bills, a Shadow Bill checkbox appears and is selected by default. This flags the service code as a shadow bill for MSP, and is billed at $0.
Providers can bill under their Business Arrangement (BA) number for Fee-for-service (FFS), Salary (SAL) or Population-based funding (PBF) within a single account. You can choose a default payee number to avoid selecting it each time you bill.
Before you can shadow bill, ensure your CHR user account is configured for shadow billing. To enable shadow billing, email the CARE team at care.emraccounts@telus.com. Include following information in your email:
Provider's full name
Practitioner number
Any applicable payee numbers:
Fee-for-service (FFS) Payee Number
Salary (SAL) Payee Number
Population-based funding (PBF) Payee Number
Your preferred default payee number (FFS, SAL, or PBF). The default payee number auto-populates on new bills.
Steps
To create a shadow bill, you create the provincial bill as usual and select the applicable SAL Payee Number.
2. Add your billing items (service codes) to the bill. The Shadow Bill checkbox is selected by default.
📌Note: The original billing item amount is displayed but is billed at $0
When the billing item is saved, Shadow Bill appears beside the billing item.
📌 Note: When you need to submit the bill as fee-for-service, select SAL Payee Number and choose FFS Payee Number from the list. The system automatically clears the Shadow Bill check box and the billed amount is calculated accordingly.
If the claim is assessed without refusal or explanation codes, the insured bill status automatically updates to Paid at 0 dollars. If the claim is refused, refer to Managing refused and invalid provincial (MSP) claims (British Columbia).
Updated May 8, 2025