Direct Billing Physiotherapy Sessions

Direct Billing Physiotherapy

Direct Billing Physical Therapy Sessions to Health Insurance Companies

Opal physiotherapy offers direct invoicing for your physiotherapy sessions to most insurance companies. We can bill most of the Insurers for physiotherapy treatments from our front office directly to help you save time in submitting your receipts to your insurance provider. The biggest advantage of direct invoicing is that it will reduce any out-of-pocket expenses or upfront fees related to your treatment.

We can submit invoices directly to the following health insurance companies:

Canada Life

Canada Life

Manulife Financial

Manulife Financial

Green Shield Canada

Green Shield Canada

WSBC

WSBC

BPA – Benefit Plan Administrators

Benefit Plan Administrators

Pacific Blue Cross

Pacific Blue Cross

Sun Life Financial

Sun Life Financial

Medavie Blue Cross

Medavie Blue Cross

ClaimSecure

ClaimSecure

And also the following health insurance companies:

Canadian Construction Workers Union, Chamber of Commerce Group Insurance, CINUP, Cowan, D.A. Townley, Desjardins, Insurance, First Canadian, GMS Carrier 49, GMS Carrier 50, GroupHEALTH, GroupSource, Industrial Alliance, Johnson Inc., Johnston Group Inc., La Capitale Insurance and Financial Services, LiUNA Local 183, LiUNA Local 506, Manion, Maximum Benefit, People Corporation, RWAM Insurance Administrators, Sun Life Financial, TELUS AdjudiCare, Union Benefits, UV Insurance, Equitable Life Ins of Canada, SSQ, Empire Life, Coughlin.

There are no charges applicable for Direct billing for your physiotherapy services provided at Opal Physiotherapy. We will need your Insurer’s Plan or policy Number and Member ID Number to process this, but please do let us know in advance that you have an insurance claim or benefits to help you process your insurance claim efficiently.

Note: we can not guarantee direct invoicing at every appointment unless informed before the session due to certain complications with certain Insurers’ benefits plan policies or due to problems with the submission portal.

Please be advised that we will require a backup credit card on file for the direct charge for certain companies due to unpredictable insurer portal connectivity.

Direct billing – Frequently asked questions

Yes, here at Opal Physiotherapy, we do direct billing to most of the health insurance providers, including ICBC and WSBC Physiotherapy Sessions.

You would be required to provide us with your policy number or claim ID number, and we will submit it using the providers’ web portal. Upon submission, the health insurance provider portal will let us know the amount your benefits plan covers, and the balance payment may be required to be paid by the client.

Health insurance providers cover most of the physiotherapy treatments that are provided at Opal Physio. Still, it is always advisable to call your Insurer or us to know your eligibility before the appointment date.

To claim treatment expenses for an open ICBC or a WorkSafeBC claim, you will need your claim number. You can get the claim number by reporting your motor vehicle accident injury to the ICBC phone line or a work injury to your manager through an incident report and to WSBC.

Although you do not need a doctor’s note to see a physiotherapist, it is always good to see your doctor and have a referral if your insurance policy requires you to have one. It is best to check your Insurer before your scheduled appointment.

We may be able to check your eligibility for that visit and how much you would be required to pay if applicable, but unfortunately, we would not be able to check the complete coverage limit and the number of visits covered. You should call your insurance provider to get the coverage details.

If your extended health benefit partially covers your visit, then you would need to pay the balance amount of the total cost of the visit.

If the health insurance company denies your claim, then you will be required to pay the charges incurred for a visit.

ICBC and WorkSafeBC (WSBC) insurance cannot be combined with any other insurance. 

For regular insurance benefits and if you choose to receive benefits from your spouse’s health insurance plan as well, some insurers will allow us to bill both the primary insurer for the main portion of coverage and the remaining portion with the secondary insurer(spouse). However, most insurers cover only the primary coverage; and you will be required to pay any remaining balance that was not covered by your spouse’s plan. You will receive a receipt for any payments made; you can submit this receipt manually or electronically (if your insurance provider has a direct billing portal).

Occasionally when there are glitches due to portal issues, where we are unable to direct bill the Insurer, you will be required to pay the amount incurred and claim it yourself.