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Billing for an out-of-province patient (British Columbia)
Billing for an out-of-province patient (British Columbia)
Updated over 2 months ago

To submit claims for residents from other provinces (except Quebec), follow the below steps. The system sees the patient’s province code with the health card information and takes care of the submission details.

⚠️ Important: Quebec patients are excluded from the below process. Medical Service Plan (MSP) does not have reciprocal billing with Quebec. We recommend that you bill patients directly and instruct them to seek reimbursement when they return home.

⚠️ Important: Before creating the bill, you must ensure that:

  • The patient's health number is recorded and has the correct identification type.
    📌 Note: If you do not see the identification in the list, add a new one. Refer to Adding additional patient identifiers.

  • The patient’s full address is recorded.

    • The Province must be two letters (MB, SK, etc.) and

    • The Country must be CAN.

    📌 Note: The street address can't be longer than 25 characters.

Steps

  1. Create a provincial bill. Depending on your workflow, you can create bills from an encounter, a patient's chart or the Visits dashboard.

  2. Use British Columbia billing codes when creating a bill for an out-of-province patient. Make sure the payment issuer (or template) is set to BC - Medical Service Plan. Refer to Adding and modifying billing items (service codes) for MSP bills (British Columbia) for more information.

    📌 Note: If you need to provide additional information to MSP, select Edit Note and add supporting text. Note that your bill will need to be reviewed manually by MSP.

  3. Change the status of the bill to Ready To Submit and save the bill.

Updated September 25, 2024

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