As BC's health benefits society, we want to ensure our members and providers have the tools they need to navigate the most recent developments related to COVID-19 (coronavirus). To stay up to date on the latest information, we recommend that all health providers in British Columbia continue to follow advice from the BC Centre for Disease Control, their Professional College, as well as the government of BC. 

Recent updates for Healthcare Providers in BC:

 

Chiropractors

Pacific Blue Cross has been working hard to enable to policies and practices to enable Tele-Health Services for Chiropractors.  As of March 24^th, 2020 Chiropractors can now bill Tele-Health Services to Pacific Blue Cross for those plans with Chiropractic Services as an eligible benefits.  Benefits vary from plan to plan.

Please note the following requirements:

• As of March 24, Chiropractic Tele-Health services can be billed for subsequent visits. 
• As of April 27, Chiropractic Tele-Health services can be billed for initial visits.
• Chiropractic Tele-Health services must all meet all regulations as outlined by the College of Chiropractors of British Columbia, specifically amendments to the Professional Conduct Handbook (PCH) Part 3 Provision of Care and Privacy and the addition of Appendix “P” Telehealth.
• All receipts issued must include “Tele-health” for these services.
• NOTE:  Benefits vary from plan to plan. Members should verify benefits coverage for telehealth services prior to appointment.

Claims processing and payment processing: Go digital

A situation like COVID-19 highlights the many advantages there are for you, our members, and Pacific Blue Cross by capitalizing on the digital capabilities we offer. For the fastest claim turnaround, payment through direct deposit, and to minimize paper and physical mail processing, we encourage you to enable our digital options if you have not yet done so. 

Register for PROVIDERnet to get convenient online access to:

• check patients’ claim eligibility
• submit claims
• view fee schedules, predeterminations, and statements

 

Massage Therapy

Please visit the CMTBC website for important information and guidance. 

Claims processing and payment processing: Go digital

A situation like COVID-19 highlights the many advantages there are for you, our members, and Pacific Blue Cross by capitalizing on the digital capabilities we offer. For the fastest claim turnaround, payment through direct deposit, and to minimize paper and physical mail processing, we encourage you to enable our digital options if you have not yet done so. 

Register for PROVIDERnet to get convenient online access to:

• check patients’ claim eligibility
• view fee schedules, predeterminations, and statements
• submit claims

 

Naturopathy

Pacific Blue Cross would like to remind Naturopaths that Tele-Health Services are available for members who have plans with Naturopathy benefits.

Please note the following requirements:

• Tele-Medicine must meet all the regulations as outlined by the College of Naturopaths of British Columbia, specifically the Standards of Practice: Tele-Medicine
• The Naturopath providing Tele-Medicine services must be licensed to practice in the jurisdiction of member residence.
• All receipts issued must include “Tele-medicine” for these services.
• Insta-Claim submissions must indicate “Tele-medicine” in the nature of illness/injury field for reporting purposes.

All receipts issued must include “Tele-medicine” for these services​

Please visit http://www.cnpbc.bc.ca/public-notice-novel-coronavirus-covid-19/ to stay up to date on the latest advice and information regarding COVID-19 (coronavirus) from the College of Naturopathic Physicians of British Columbia.

Claims processing and payment processing: Go digital

A situation like COVID-19 highlights the many advantages there are for you, our members, and Pacific Blue Cross by capitalizing on the digital capabilities we offer. For the fastest claim turnaround, payment through direct deposit, and to minimize paper and physical mail processing, we encourage you to enable our digital options if you have not yet done so. 

Register for PROVIDERnet to get convenient online access to:

• check patients’ claim eligibility
• view fee schedules, predeterminations, and statements
• submit claims

 

Physiotherapy

Pacific Blue Cross has been working hard to enable to policies and practices to enable Tele-Health Services for Physiotherapists.  As of March 24^th, 2020 Physiotherapists can now bill Tele-Rehabilitation Services to Pacific Blue Cross for those plans with Physiotherapy as an eligible benefit.  Benefits vary from plan to plan.

Please note the following requirements:

• As of March 24, Physiotherapy Tele-Rehabilitation can be billed for subsequent visits. 
• As of April 27, Physiotherapy Tele-Rehabilitation services can be billed for initial visits.
• Physiotherapy services must all meet all regulations as outlined by the College of Physical Therapists of BC whether services are provided in-person or via tele-rehabilitation.  
• All receipts issued must include “Tele-rehabilitation” for these services.
• NOTE:  Benefits vary from plan to plan. Members should verify benefits coverage for telehealth services prior to appointment.

Please visit https://cptbc.org/covid19/ to review the most current guidelines, information, and advice regarding COVID-19 (coronavirus) from the College of Physical Therapists of British Columbia.

Claims processing and payment processing: Go digital

A situation like COVID-19 highlights the many advantages there are for you, our members, and Pacific Blue Cross by capitalizing on the digital capabilities we offer. For the fastest claim turnaround, payment through direct deposit, and to minimize paper and physical mail processing, we encourage you to enable our digital options if you have not yet done so. 

Register for PROVIDERnet to get convenient online access to:

• check patients’ claim eligibility
• view fee schedules, predeterminations, and statements
• submit claims

 

Psychology

Pacific Blue Cross would like to remind Psychologists that Tele-Health Services are available for members who have plans with Psychology benefits.

Please note the following requirements:

• Tele-psychology services must meet all the regulations as outlined by the College of Psychologists of British Columbia, specifically The Code of Conduct.
• The Psychologist providing tele-psychology services must be licensed to practice in the jurisdiction of member residence.
• All receipts issued must include “Tele-psychology” for these services.
• Insta-Claim submissions must indicate “Tele-psychology”  in the nature of illness/injury field for reporting purposes.
• Insta-Claim submissions must indicate “Tele-psychology” in the nature of illness/injury field for reporting purposes.

 

As BC's health benefits society, we want to ensure our members and providers have the tools they need to navigate the most recent developments related to COVID-19 (coronavirus). To stay up to date on the latest information, we recommend that all health providers in British Columbia continue to follow advice from the BC Centre for Disease Control, their Professional College, as well as the government of BC. 

Claims processing and payment processing for First Nations Health Authority: Go digital

A situation like COVID-19 highlights the many advantages there are for you, our members, and Pacific Blue Cross by capitalizing on the digital capabilities we offer. For the fastest claim turnaround, payment through direct deposit, and to minimize paper and physical mail processing, we encourage you to enable our digital options if you have not yet done so. 

We’d like to remind you that vision claims made on behalf of First Nations Health Authority clients can now be processed online through PROVIDERnet for more efficient reimbursements. 

Register for PROVIDERnet to get convenient online access to:

• check patients’ claim eligibility
• view fee schedules, predeterminations, and statements

Recent updates for Speech and Language Pathologists in BC: 

• Please refer to the latest update from the College of Speech and Hearing Health Professionals of British Columbia for important information regarding COVID-19 (coronavirus).

Tele-Health

Pacific Blue Cross has been working hard to put in place policies and practices that would enable telehealth services for hearing providers.  As of April 27, 2020, hearing providers can now bill Virtual Care Services to Pacific Blue Cross for those plans with eligible hearing benefits.  Benefits vary from plan to plan. Members should verify benefits coverage for telehealth services for their specific plan. Please note the following requirements:

• Virtual care can be billed from April 27, 2020 to until further notice.
• Virtual care must meet all the regulations as outlined by the College of Speech and Hearing Health Professionals of British Columbia, specifically the Virtual Care Standard of Practice.
• The Audiologist or Hearing Instrument Practitioner providing virtual care services must be licensed to practice in the jurisdiction of member residence.
• All receipts issued for applicable services must include “Telehealth” in the description.
• Insta-Claim submissions must indicate “Telehealth” in the nature of illness/injury field for reporting purposes.

Whenever possible, we ask that providers support clients with Pacific Blue Cross coverage by giving them Pre-Authorizations and Assignment of Payment paperwork if the client is unable to pay out-of-pocket for products and services.