Obtaining patient consent for reports submitted to ICBC

Significant improvements have been made to ICBC accident benefits which improve access to care for anyone injured in a crash. 

To support these changes, ICBC worked with Doctors of BC to revise assessment report templates. ICBC will use the information in the report for the following:
 

  • Ensuring the correct claims representative or recovery specialist is assigned to the claim
  • Authorizing necessary equipment and treatment purchase and process payment in a timely manner
  • Proactively addressing potential barriers at an early stage to ensure optimal recovery outcomes

Questions physicians may have

  1. Why is the process for managing consent changing?

    The new report templates include a specific checkbox to prompt physicians to obtain consent from a patient who has been injured in a motor vehicle accident. The purpose is to help streamline the new workflow process by proactively sending information to ICBC on all motor vehicle accidents.
     
  2. What changes do physicians need to make in managing ICBC patients?

    During an assessment, the patient should be informed that a report on the diagnosis and care plan may be shared with ICBC. Physicians should ask for the patient’s consent to do so consistent with all consent and information sharing guidelines. If the patient provides consent, physicians should send the report.

    If the patient does not provide consent, physicians should not send the report and instead document the information in the patient’s record.
     
  3. What if a patient refuses to consent to the sharing of information with ICBC?

    ICBC has legal authority to collect personal information from patients who have an open claim.

    If physicians do not have consent to send a report, ICBC will send the patient’s physician a formal request to obtain relevant information on their injuries.

    If physicians receive this request from ICBC they are obliged under section 28.1 of the Insurance (Vehicle) Act to provide this information in the report provided. ICBC encourages physicians to contact ICBC in cases where consent has not been obtained.
     
  4. How do physicians invoice if they do not receive consent to share information with ICBC?

    In such cases, physicians should invoice a standard office visit through MSP. Physicians should not invoice the new ICBC fees for physicians if they do not have consent from the patient.
     
  5. How do physicians bill if they do not receive consent to share information with ICBC?

    In such cases, physicians should invoice the standard assessment fee ($120) or extended assessment fee ($325).

    Physicians should not invoice an office visit in addition to these fees. The report will serve as the invoice for the appropriate assessment and report fee.
     
  6. How do physicians contact ICBC?

    A feedback form is available on ICBC’s Health Services Business Partners site for any questions physicians may have.

As of April 1, 2019, the Health Care Inquiry Unit (HCIU) will be active and their contact number will be posted on ICBC’s Health Services Business Partners site

For more information regarding fees and reports, visit ICBC’s Health Services Business Partners site.

An illustration of the change in process, using simplified patient and report journeys, is available here.

Note: This article was submitted to the College by ICBC.