Whether you're billing from an encounter, from the Visits dashboard or from the Insured Billing area of the patient's chart, the process for adding billing items (service codes) to a bill is the same. From the Billing dashboard, you can also open bills and modify billing items as long as the bill's status allows you to edit the bill.
Steps
1. Start a bill from an encounter, from the Visits dashboard or from the patient's chart. If you're editing a bill, open the bill from the Billing dashboard.
2. Perform one of the following actions:
If you're billing from an encounter, at the top of the Billing Items area, click Insured Billing.
If you're billing from the Visits dashboard or from the Insured Billing area of the patient's chart, to add a billing item, click +Add Fee Item.
If you're modifying a billing item, click the billing item
The Edit Teleplan Billing Item window opens.
3. Using the following table, complete the applicable fields.
Field | Description |
Code / Description | 1. To search for the service code:
2. In the list of matches, select the code you want.
💡 Tip: To set a service code as a favourite, in the list of matches, select the star icon beside the code. Every time you create a bill, starred favourites appear first in the Code/Description search list.
⚠️ Important: If this is an age-based code (for example, 00100), you must select the correct code for the patient's age group. The CHR does not auto-correct the code for you. |
Base Amount
| The fee amount for the code you selected is automatically populated. You can edit the amount if needed. |
% | To reduce the fee by a percentage (for example, if this is the second service you're billing for and it's billed at 50%), in the drop-down, select the percentage.
📌 Note: Even if you do not see the fee reduce in the Edit Teleplan Billing Item window, the fee is reduced on the bill. |
Quantity | If the code requires time units or number of services, type the number in the field. |
Diagnosis Codes | Diagnosis codes recorded in the Assessment section of the encounter, may be pre-populated in the bill (if your billing settings are set to do so).
Otherwise, enter the diagnosis code, or start typing a description to search for and select a diagnosis code from the list.
Another search field appears, prompting you to enter another diagnostic code. Enter another code or click inside the Edit Teleplan Billing Item window to exit the search field.
💡 Tips:
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Service Location | The Service Location defaults to your primary service location (typically [L] Longitudinal Primary Care Practice for GPs). To modify the service location, in the list, choose the one you want.
💡 Tip: To set or modify you default service location, see Configuring your default service location code (Teleplan) |
Service Date | If you started the bill from an encounter (that was started from an appointment) or from the Visits dashboard, the Service date matches the appointment date.
If you started the bill from the Insured Billing area of the patient's chart, the date defaults to the date you created the bill.
To change the date, click the calendar icon. |
Time Spent (Minutes), Start Time and Finish Time
| If you started the bill from an encounter (that was started from an appointment) or from the Visits dashboard, the Start Time matches the appointment time. The Time spent (minutes) and Finish time is pulled from the appointment type.
If you started the bill from the Insured Billing area of the patient's chart, the Start Time defaults to the date you created the bill.
To change a time, click the clock icon. |
Edit Note | To include a comment to MSP regarding this billing item (for example, if this is a late submission):
|
ICBC Claim | If this billing item is for an ICBC (motor vehicle accident) claim, select this checkbox and type the Claim Number.
📌 Note: Don't include any hyphens (-) or letters in the claim number.
💡 Tip: If you don't know the claim number, you can leave this field blank. |
WSBC Claim | If this billing item is for a WorkSafeBC (WSBC) claim, select this checkbox and then, in the WSBC Additional Fields area, enter the claim details.
📌 Note: If a claim was previously submitted for the patient from the CHR, you're prompted to auto-fill the claim details with the previous claims details.
For more information on WSBC billing, see: |
Shadow Bill | This checkbox - which is selected by default - displays only if your account is set up for shadow billing. Select the checkbox to indicate that this is a shadow bill.
📌 Note: If you do not see the Shadow Bill checkbox and you require the ability to shadow bill, contact us so we can configure your account accordingly.
📌 Note: If you need to submit a billing item (service code) as fee-for-service instead, do not clear the Shadow Bill checkbox. Instead, you must bill under a different user account that is set up for fee-for-service billing. Contact us for more details.
|
Pay Patient Opted Out | If this patient is not eligible for Teleplan coverage (for example, if they opted out of MSP coverage or the service is not covered by MSP), select this check box. |
Show Advanced Fields | Select to see the following additional fields: |
| Diagnostic Facility If a diagnostic facility is required for the claim (for example, you are billing diagnostic services such as performing an ultrasound or MRI), select the facility from the list. Facility Number If a facility number is required for the claim (for example, for service code 900), or if you're entitled to a BCP incentive, in the drop-down, select your facility.
📌 Note:
Ref Facility Number If the claim requires a referring facility number, in the drop-down select the facility.
📌 Note: If the facility you want isn't available in the list, contact the TELUS Health support team Service Clarification Code
📌 Note: Your default rural retention code should automatically populate the field. See Setting your default rural retention code for provincial (MSP) billing items. New Born
Referring Practitioner To add the referring provider (provider who referred the patient to you):
📌 Note: If the patient has a referring practitioner recorded in their chart, the provider is automatically added.
If the claim is for a no-charge referral, to add the refer-to provider (provider you're referring the patient to):
Sub-Referring Practitioner If the claim requires both a referring provider and a refer-to provider:
|
Show Submission Fields | To modify the submission details for the claim, select this checkbox. The following fields appear: |
| Submission Code By default Automatic is selected - which links the correct submission code to the claim automatically. To manually change the submission code (for example, if you're resubmitting the claim as a debit request), in the drop-down select the code. Original MSP File Number If a response for this claim has come back from MSP, the MSP File Number is automatically added here. |
3. To save or update the billing item, click outside the Edit Billing Item window. The service code is added to or updated in the bill.
Updated December 22, 2022