Physician billings: WCB payment program

(disponible en anglais seulement)

Introduction

We want to help physicians understand when it’s appropriate to bill the Ontario Health Insurance Plan (OHIP) using the WCB payment program. The Workplace Safety and Insurance Board (WSIB) pays the cost of services billed using the WCB payment program with money paid into our Insurance Fund by Ontario employers. We need to ensure that these employers aren’t paying for services that should be covered by the Ministry of Health and Long Term Care (MOHLTC).

You can use the information in this document to help you decide when it’s appropriate to use the WCB payment program. It is an offence under the Workplace Safety and Insurance Act (WSIA) for anyone to make a false or misleading statement to the WSIB.

Ask the patient if the injury/illness happened at or as a result of work. The response is: