Claiming Under Your Extended Health Benefit Plans and Direct Billing
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Frequently Asked Questions (FAQ) about Direct Billing
We are able to direct bill to most major 3rd party insurers. Please see below for a complete list. However, if you have an open ICBC or WorkSafeBC claim, please note that we cannot direct bill another insurer for treatment. For the most current list of insurers, please get an updated list from Billings.
We are able to direct bill for the vast majority of our services, although most insurers do not allow clinics to direct bill for Kinesiology or Clinical Counselling services.
Due to the very strict privacy policy put in place by insurance companies, clinics don’t have access to any information regarding your insurance plan (including your coverage or limits). You can review your policy documents or contact your insurer directly to confirm.
We will direct bill your insurance provider for your session within 1-2 business days of your appointment date. Sometimes, insurers do not pay in full, or they may refuse payment. In either of these cases, we will send you an email explaining what occurred (including an “explanation of benefits” directly from your insurer) so that you are aware. Your credit card on file will be charged for the remaining balance, and a detailed receipt will be sent to you. This receipt can then be submitted to your insurer(s) who will reimburse you directly, if you are eligible for coverage.
We know that sometimes you may have coverage under two different plans and/or two different insurers. At this time, we are only able to direct bill to your primary insurer; however, you are welcome to submit any remaining balances to any secondary insurer you may have. The only exception to this is if you have more than one plan with Pacific Blue Cross, as they will automatically process to your primary and secondary on their end.
A deductible is an “activation fee” that some plans require patients to pay at the beginning of the year. If you have questions about your deductible, be sure to contact your insurer!
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