Are you missing out on billing when providing WCB services?

In general, when submitting claims to WCB for work related illness/injury, physicians follow the same rules that apply to Alberta Health billing. 

However, WCB-related services may be “unbundled," which means that:

• Visits are payable in addition to the procedure regardless of diagnostic code or service location.
• All services provided at the same encounter are payable at 100%.
• No inclusive care periods for procedures – (all pre and post procedure visits are payable including suture removal which is claimed as a visit).
• Tray services are billed separately.
• Business Cost Program services are billed separately:
  • 1 unit for every visit service (03.03A CMGP03 = 4 calls of BCP01/02).
  • BCP01: Locations other than Calgary, Airdrie or DeWinton.
  • BCP02: Calgary, Airdrie and DeWinton.

Need more help?

• Access the Fee Navigator
• Access the Schedule of Medical Benefits
• Read the Allied Health practitioner’s resource guide
• Read the Physician's resource guide
• Register for billing seminars
• Contact us with any billing questions