Direct Billing Terms & Conditions
IN SOME CASES YOU MAY BE ASKED TO PAY IN FULL AT THE END OF YOUR VISIT:
You will be provided with a detailed receipt to self submit to your insurance company for reimbursement.
This may occur if:
• Your insurance company's online portal is down
• Your insurance company responds to our direct billing request with a "pending" status (meaning that they are unable to complete the adjudication process)
• Your benefits provider doesn't offer this service to us
DEDUCTIBLES:
Some plans may include deductibles while others do not.
A deductible is a fee paid at the start of your plan's fiscal year and is needed in order to activate your plan.
The deductible amount is determined by your insurance company. Despite having a deductible, we are still able to direct bill. The way this works in practice is that you will have to pay a higher percentage for your first visit and then your insurance plan will cover more for each subsequent visit
LIMITATIONS:
There are a few limitations to direct billing:
Partial Coverage: If your plan doesn't cover the cost of a full visit, you will be billed and issued a receipt for what was not covered at the end of your visit.
Future Payments: We can only bill your insurance plan when services are rendered. We cannot bill for future appointments.
Split Invoices: We are not able to split invoices in order to coordinate with your plan's maximums.
Missed / No Show Appointments: There is no billing code to submit to insurers for missed appointments and most insurance companies do not cover the cost of "no-show" appointments.Therefore, any amount accrued for a missed appointment becomes the responsibility of the patient.
WCB, ICBC, MSP
We do not accept bookings for MSP, ICBC or WorkSafeBC (Worker's Compensation Board of British Columbia)
CONTACTING INSURERS:
We are unable to contact your extended health carrier due to confidentiality and are unable to obtain access to determine your coverage limits or plan details.