Notice: The Clinic is open.
Information on Insurance providers and ICBC (ICBC patient pay only). Some conditions apply*.
This Clinic's Policy on "Direct Billing", for your convenience, and of participating insurance companies terms *:
Clinic Policy - around insurance cards is that all cards should be presented (as declared as primary and secondary) at the clinic during the "First appointment". Furthermore, I require written consent (i.e. the signed required form) from each insurer and information (name, DOB) of cardholder.
== First Appointments:
- All First Appointments should be prepared to make payment day of appointment*; unless you send insurance details (inc consent) in advance*
- (1) A text or email that include the following information: (a) card holder's name & DOB, (b) image of card, and if applicable and (c) if patient is a dependant, then their name & DOB, and the phrase, "consent given in good faith" to text message, for a predetermination inquiry.
- (2) Use the button below "GET AN INSURANCE CONSENT FORM: download and bring to appointment.
- At the Clinic, all patients are required to sign a consent form in order to qualify for direct-billing.
Call or text me is you need assistance?
- Payment methods are Cash, cheque or etransfer accepted. Currently, no debit or credit card services. Note insurance pays for appointments attended.
- All balances should be reconciled within 24-hours.
- If required, a receipt will be issued, once a payment is made. Typical the following day.
== Clinic's conditions on Direct-billing ===
The clinic's conditions for "Direct Billing" that qualify:
- Only insurance policies that have massage therapy coverage.
- Only insurance that have a portal for RMTs to submit claim.
- Only claims that are immediately processed as "Provider pay" *, the RMT is the provider.
This clinic's policy operations on Direct Billing service:
- The Clinic only submits on your behalf only.
- I can not communicate about your policy with your Insurance Company
- You must sign a consent form for Direct-Billing (eClaims).
- You must declare cardholder, primary and secondary insurances, and provide (card/DOB) information.
- Only claims that are immediately processed qualify for Direct-Billing as "Provider" pay (only).
- By booking your have accepted all Terms & Conditions of Service and Clinic Policy at this business!
- see below Patient-pays due to insurance policy restrictions.
== Patient's responsibility: ============
It is patient’s responsibility to know about their own coverage prior to booking.
- You are expected to pay services rendered, if any of the following: member (patient) pay, insufficient coverage, doctor note and or if claim is not immediately processed at time of submission or for any other reason.
- You will have to sign a 'consent form' for Direct Billing (for each card).
- It's your responsibility to update your insurance information with the clinic.
== THE PATIENT-PAYS AT THIS CLINIC =
Patient-pays due to insurance policy restrictions:
- Any Policy that does not have coverage for massage in the province of British Columbia; and or,
- any Claim that are not immediately processed for any reason, "member" pay polices, do not allow Direct Billing/have a portal (in Province or Country), or requiring a "doctor's notes", are Member claim only; and including,
- on the "condition", the service provided is not related in any way to a motor vehicle incident, workplace incident, or any other accident where ICBC, WorkSafe BC, or any other liable third party may become involved, and is not related to a medical emergency while traveling outside of Canada.
- Insurance only pays for appointments you attend! Missed appointment or late cancellation fees are your responsibility.
- Any unsuccessful Direct Billing claims, the balances must be paid as per clinic policy. Then you’ll be notified by email/text/phone to pay the balance (via etransfer). All balances should be reconciled in 24-hours.
THIS CLINIC'S DIRECT-BILLING PORTALS: by insurance providers (by Portals - Insurance):
- Pacific Blue Cross portal - Pacific Blue Cross;
- Telus Health portal - Alberta Blue Cross , Canada Life (inc Great-West Life), Canada Life - PSHCP, , Chambers of Commerce Group Insurance Plan, CINUP, Cowan Insurance Group, Desjardins Insurance, First Canadian, GroupHEALTH, GroupSource, Industrial Alliance, Johnson Inc., Johnston Group, Manulife Financial, and ...
- Telus Health portal (new) (2) - Beneva, BPA, Canadian Construction Workers Union, Chambers of Commerce Group Insurance Plan, ClaimSecure, Coughlin, Cowan Insurance Group, DA Townley, Equitable Life, GMS, LiUNA local 182, LiUNA local 506, Maximum Benefit, NDN Insurance, Peoples Corp, RWAN, Simply Benefits, Telus AdjudiCare, Union Benefits, and UV Insurance;
- Lumino Health portal - SunLife.
- Provider Connect portal - Green Shield Canada, SSQ Insurance, Medic Construction (GSC) & Empire Life;
- LifeMark portal (1) - Partners in Canadian Veterans Services Rehabilitation (PCVRS). The onus is on the patient to communicate with their "worker", ensure that the information is provided to the RMT. Then make arrangements for treatment.
- Medavie Blue Cross portal (1) - Medavie Blue Cross;
Note: Above portals & Companies - Contingent upon no policy restrictions for RMT (the Provider) submissions for benefits; otherwise, patient-pay.
~ Patient facilitated: (below)
- BC Ministry of Heath - please contact your "Worker" as to your coverage, beforehand.
- (4) MSP - BC MSP patient Reimbursement Form - you will need to contact MSP for information, as conditions apply. (10 sessions at $23.00 plus GST)?
This clinic has opted out but I have an MSP number: 48903 . Need help? Call, 1-800-663-7100 . - Download form below or go to link: https://www2.gov.bc.ca/assets/gov/health/forms/2944fil.pdf or downlaod from my Forms & MT Info page.
- other unknown insurers (3, 4) - Patient-pay.
1. for VAC Participants, as well as CAF and RCMP Members.
2. " new or (? ) = recently added insurance company. Unknown member and clinic provider coverage .
3. patient pay as no RMT portal available.
4. Patient managed
== ICBC - PATIENT-PAYS AT THIS CLINIC
ICBC claims*: Yes, only as a patient-pay service *.
I have "hard opted-out" of ICBC claims. I do not direct bill ICBC *.
- * ICBC claims: patient-pay, ask your ICBC Adjustor first, about any details of non-ICBC provider RMT.
- "Twelve (12) massage therapy sessions provided by a Registered Massage Therapist" are pre-authorized for ICBC customers within the first 12 weeks from date of their crash", (quote as per ICBC Fee Guide for Health Care Providers document), as per 2024 ICBC the initial 12 weeks (details click buttons below),
- My booking site has specific bookings for initial & subsequent ICBC appointments as per 2024 ICBC practitioner fees. (ICBC links below)
- You should provide claims information: date, file#, Adjuster's name and contact in order for treatment.
- If further treatments beyond the initial "12". Then you require your Adjusters approval. You may need a doctor's prescription and a request the RMT to completed ICBC form CL751-physical-treatment-plan on your behalf.
- Your clinical record is protected by BC PIPA.
- Please note many private Insurance benefits typically do not cover injuries/accidents.
Massage Therapy is a health profession that operates under the Min. of Health as a private business.
All regulations of BC Health Care Act, (Regulatory) College (of Massage Therapy) and other Acts apply.
All Insurers agreements must be followed.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
John Forsyth RMT © from 2022. All rights reserved.
