Enroling with the Medical Services Plan
The following practitioners are eligible to enrol with MSP and obtain MSP billing numbers:
Enrolment status, and, therefore, the possession of an active billing number, is contingent upon the practitioner's continued licensure by the appropriate licensing body. Any change in licensure, such as the renewal of a temporary license or specialty, must be reported to MSP to avoid refusal of claims.
Assignment of a Billing Number
Each practitioner enroled with MSP is assigned a billing number consisting of two numbers:
The practitioner and payment numbers are usually the same. However, they differ in cases where a practitioner designates another practitioner or a group, such as a clinic or hospital, to receive that practitioner's MSP fee-for-service payments. See Assignment of Payment.
New Physicians or Physicians Relocating to B.C.
Physicians wishing to obtain a billing number from MSP must follow a clearly defined process. You must first request licensure from the College of Physicians and Surgeons prior to requesting a MSP billing number. The telephone number for the College is 604 733-7758. For more information, contact Provider Services.
If you change your address or telephone number, or if there is a change in your specialty or licence status, advise MSP so that your records can be updated accordingly. Timely notification of changes enables MSP to provide practitioners with accurate and efficient service and helps prevent unnecessary refusal of claims.
De-enrolment and Opting out
A medical, dental or health care practitioner may:
Licensed dentists who register with MSP are called enroled dentists. Like physicians, dentists may choose to be opted-in or opted-out. Extra billing restrictions are identical to those for physicians except that oral and maxillofacial specialists may bill patients directly for the technical component of associated out-of-hospital services (i.e. x-rays, dental laboratory services, prostheses, etc.) except for those patient categories covered under Schedule E of the Dental Payment Schedule.
Enroled Supplementary Benefit Practitioners
Licensed health care practitioners who register with MSP are called "enroled" practitioners. Enroled practitioners may choose to be "opted-in" or "opted-out".
Opted-in practitioners must bill MSP directly for all required services provided to MSP beneficiaries. Opted-in practitioners are prohibited by legislation from charging MSP beneficiaries more than the amount paid by MSP for an MSP-insured service.
Opted-out practitioners have elected to bill patients directly for insured services. Although opted-out practitioners may choose to submit claims to MSP on behalf of patients who are MSP beneficiaries, MSP reimburses the beneficiaries directly for those insured services. For more information, please see MSP Guidelines for Hard and Soft Opt Out Status (PDF 43Kb).Supplementary Benefit Practitioners Who Are Not Enroled
The services of a non-enroled or de-enroled supplementary health care practitioner are not benefits of MSP. These services can be billed directly to the patient for an amount more than that set in the appropriate MSP payment schedule, provided the patient is advised of the practitioner's payment protocol before the service is rendered.
If a medical, dental or health care practitioner intends to require their patients to pay all or a portion of the costs of a service, he or she must inform the patient, prior to rendering the service:
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