Support for physicians providing care under ICBC’s Enhanced Care model

Throughout 2026, ICBC and Doctors of BC delivered a series of educational webinars for family physicians and specialists who provide care to patients injured in a motor vehicle accident. The sessions focused on billing, reporting, consent, and care pathways under ICBC’s Enhanced Care model to help physicians navigate administrative processes while supporting timely patient care.

Enhanced Care, introduced on 1 May 2021, provides care and recovery benefits to British Columbians injured in a crash, regardless of who is at fault. Patients can access early rehabilitation services, including physiotherapy and other initial treatments, without prior approval during the first 12 weeks after injury. Treatment beyond this period requires ICBC approval. ICBC recovery specialists also provide patients with information about available benefits, including coverage for medications, mobility devices, and other medically necessary supports.

Family physicians

Webinars for family physicians focused on updates to billing, patient consent, and communication with ICBC.

As of February 2026, family physicians can bill motor vehicle accident–related care through the Longitudinal Family Physician (LFP) Payment Model, simplifying billing by aligning motor vehicle accident care with other Medical Services Plan (MSP)–insured services. Physicians practising under both LFP and fee-for-service models continue to bill ICBC directly for physician reports, while care related to work-related motor vehicle accidents should be billed through WorkSafeBC.
After completing ICBC’s physician forms (Family Physician Standard Medical Report, CL489; Family Physician Extended Medical Report, CL489A; or Family Physician Reassessment Medical Report, CL489B), physicians are encouraged to submit reports promptly once patient consent has been obtained. Consent is not required when ICBC requests information under Section 28(1) of the Insurance (Vehicle) Act. Doctors of BC also offers a consent-to-sharing-information form to support documentation.

Specialists

Webinars for specialists focused on re-porting requirements and billing under Enhanced Care.

Specialists may complete the Physician Specialized Services Report (CL489S) after seeing a patient referred by a physician or nurse practitioner. The report may be submitted proactively following the initial consultation (with patient consent), when requested by ICBC, or when significant new clinical information becomes available. Follow-up reports are generally required only when there has been a material change in the patient’s condition or treatment plan. Residents may also complete reports under physician supervision.

The CL489S functions as both the clinical report and invoice. Specialists are compensated $275 per report, billed directly to ICBC, while clinical visits continue to be billed separately through MSP.

Billing and communication

For both family physicians and specialists, the physician conference fee (A94569) applies to interactive discussions with ICBC or other care providers regarding patient care planning or barriers to recovery. The fee does not apply to administrative tasks and requires prior ICBC approval and submission of an itemized invoice.

Physicians can contact ICBC’s Health Care Inquiry Unit for claim information and contact details for recovery specialists. ICBC communicates funding decisions directly to patients and, when applicable, to physicians providing physician-administered services. Patients seeking a review of a benefits decision should first speak with their recovery specialist before escalating concerns through ICBC’s review process.

Recordings of both webinars, along with additional billing resources, are available on the Doctors of BC website. Physician groups or clinics interested in a customized presentation on ICBC Enhanced Care billing can contact icbc@doctorsofbc.ca.
—Rheanna Corpuz
Senior Coordinator, Physician Advocacy, Doctors of BC