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Do you provide chiropractic treatments to customers injured in a car crash? Here are a few things you should know.

Changes to invoicing and reporting

ICBC has simplified the way you request and invoice for treatment through our new web-based application, also known as the Health Care Provider Invoicing and Reporting (HCPIR) application. In order to use the HCPIR, a vendor number is required.

If you have been paid by ICBC before, you likely already have a vendor number. To find out how to locate your vendor number, please visit our Invoicing and reporting page. If you do not already have a vendor number, or you need to make changes to your information, visit our Vendor number page.

Fee-for-service billing

If you are providing fee for service prior to April 1, 2019, please submit treatment invoices to the B.C. Ministry of Health's Medical Services Plan. Review the Fee-for-service billing guide for more information.

Treatment guidelines

Chiropractors are expected to assess patients and determine their treatment plans in accordance with the BC Chiropractic Association practice standards, using evidence-informed practice when establishing a diagnosis and providing treatments.

As of April 1, 2019, when treating a patient with an injury listed in sections 3 or 4 of the Diagnostic and Treatment Protocols in the Minor Injury Regulation made under the Insurance (Vehicle) Act, a health care practitioner must educate the patient with respect to the following:

(1) (a) if applicable, the desirability of an early return:

a. to the activities the patient could perform before the injury, or

b. to the patient's employment, occupation or profession or the patient's training or education in a program or course;

(b) an estimate of the probable length of time that symptoms will last;

(c) the usual course of recovery;

(d) the probable factors that are responsible for the symptoms the patient may be experiencing;

(e) appropriate self-management and pain management strategies.

(2) When treating a pain syndrome and a psychological or psychiatric condition, a health care practitioner must identify comorbid conditions, if applicable.


Effective April 1, 2019, fees listed in the below payment schedule are based on a standard treatment, rather than being charged at an hourly rate. The provincial government has updated the treatment fees that ICBC will cover for care and treatment after a crash. This has been outlined in the Insurance (Vehicle) Act and is highlighted in the table below.

Fee table

​Initial visit & report*​$199.00 (billable once)
​Standard treatment​$53.00 per treatment
​Reassessment report (upon request)​$65.00
​Pre-authorized number of treatments​25 (within 12 weeks of the date of the accident causing the injury)

These fees apply to all treatments administered on or after April 1, 2019, regardless of the date of the accident that caused the injury 

*The initial visit fee includes the assessment and treatment provided that day. A standard visit is not to be charged for the date the initial visit took place.


  • ICBC customers who choose to visit a health care provider that charges a higher rate than what ICBC funds under accident benefits (indicated above), will not be able to recover the user fees from ICBC for claims with a date of loss on or after April 1, 2019. This will mean that the patient is responsible for paying the user fee portion, which they may submit to their private health insurer for consideration of coverage.
  • Treatments are based on sessions provided and fees reflect fair market rate for a standard industry visit. Treatment frequency will be based on clinical recommendations and should reflect best practice. However, multiple sessions provided by the same discipline, on the same day, will not be funded.
  • In the case of a no-show, the clinic's no-show and cancellation policies should apply. ICBC will not pay for no-show appointments.

To see the current list of fees applicable to all treatments up to and including March 31, 2019, please refer to the BC Medical Services Plan Schedule.

X-ray fee schedule

X-rays must be performed only as required following evidence-informed practice, for the purposes of diagnosis.

​Descriptor​Payment criteria​Amount
​Cervical spine​4 views or less​$72.10
​Cervical spine​Davis series​$98.20
​Thoracic spine​4 views or less​$72.10
​Lumbar spine​4 views or less​$72.10
​Additional films​Any one film, any area in addition to the four or less series (does not apply to combined series)​$13.20
​Any combined series​$144.10
​Reading fee (when film is provided by outside source)​Any one area​$24.80
​Reading fee​Two or more areas​$40.80
Reading fee​​Three or more views​$52.50
​Reading fee​Extremeties - minimum two views (extremeties are articulations other than the spine, such as knees, elbows an shoulders)​$40

Webinar recording

To help you navigate through the changes, a webinar for chiropractors was hosted on Friday, March 15, 2019. This webinar covered fees, invoicing & reporting, contact & support, learning resources, scenarios, and had an open Q&A.

If you were unable to attend this session, you can listen to a recording of the webinar

If you attended the webinar or watched the recording, please share your feedback with us.

Contact & support

The Health Care Inquiry Unit (HCIU) is available to address questions Monday-Friday, 8:30 a.m.-4 p.m. PST

  • Lower mainland: 604-587-7150
  • Toll free: 1-888-717-7150

For additional support and information, visit the Support and resources page.

 Chiropractic flat fee program