Do you provide physiotherapy to customers injured in a car crash? Here are a few things you need to know.
Changes to invoicing & 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.
Reporting requirements and fees have changed. Report templates are available on the
Physiotherapists are expected to assess patients and determine their treatment plans in accordance with 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.
|Initial visit & report*||$250.00 (billable once)|
|Standard treatment||$79.00 |
|Reassessment report (upon request)||$80.00|
|Pre-approved number of treatments||25 (within 12 weeks of the date of the accident causing the injury)|
|In-home treatments||This treatment is used when a customer has had a catastrophic injury that prevents them from travelling to a clinic. It requires pre-authorization.|
|Home visit||$85.00 per hour. Session includes completing of charting and updates to other providers. |
|Mileage||$0.47 per kilometre. Mileage must be cost shared so that travel time to a location where multiple customers, ICBC or otherwise, are treated, the cost is shared across those clients/claims in an equal manner.|
|Travel time||Actual travel time for treatment purposes is payable at $42.50 per hour, billed to the minute, up to a maximum of 60 minutes total per treatment session. Travel time must be cost shared so that travel time to a location where multiple customers, ICBC or otherwise, are treated, the cost is shared across those clients/claims in an equal manner.|
|Rehabilitation assistance||$45 per hour. Applicable to services delivered by a rehab assistant.|
These fees apply to all treatments administered on or after April 1, 2019, regardless of the date of the accident causing 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.
Mileage and travel time example: travel time of 30 minutes to and 30 minutes from the treatment location and a total of 25 kms.Two clients are seen at a local recreation centre. In this case, half of the travel time and half of the mileage is billable to either client. If the second client is not an ICBC customer, the cost sharing must still apply.
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.
For a list of fees applicable to all treatments up to and including March 31, 2019, please refer to the
BC Medical Services Plan Schedule.
Additional resources will be coming soon.
If you require reports for other health care providers, visit our
To help you navigate through the changes, a
webinar for physiotherapists was hosted on Tuesday, March 12, 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.