Billing Tips for Hearing Health Providers

Hearing health providers should continue to bill electronically through the WSIB payment system (Telus health provider portal).  
More information on electronic bill submission may be found below.

1. What WSIB service codes and fees should be used to enter bills for payment submission?

Service codes can be found through an online product search within the Telus health provider portal.

In terms of hearing aids, the service date of the bill line item should be the date that the hearing aid was provided/dispensed to the worker.

2. What product details do I need to supply to WSIB?

  • Manufacturers will supply each hearing health provider with product details (e.g., manufacturer's invoice).  A copy of this invoice should be faxed to WSIB.

3. I understand WSIB has negotiated the inclusion of a Hearing Assistive Technology product (HAT) based on the worker’s selection at no additional cost.  How are these to be billed?

  • Based on some choice restrictions, manufacturers will supply workers with one wireless non-FM HAT (e.g., TV/phone listening or alerting device) at no cost to WSIB within 12 months of the original hearing aid being dispensed. Hearing health providers are asked to bill for the product through the Telus health provider portal, using the applicable service code at zero charges.
  • In keeping with current practice, requests for HATs are considered no sooner than 90 days after the hearing aid dispense date, aligned with the progress follow up visit of the Noise Induced Hearing Loss (NIHL) Program of Care (Block 2).

4. A worker is seeking to repair a hearing aid not produced or maintained (repaired) by one of the three manufacturers. How should this be handled and billed?

  • Repairs and remakes to hearing aids supplied by one of the three manufacturers (outside of warranty) are guided by specific repair and remake fees.
  • If there a need to repair an existing hearing aid purchased prior to January 9, 2017, it is recommended that the hearing health provider contact WSIB to discuss the repair.  In some cases, it may be preferable to have the worker choose a new hearing aid from one of the three manufacturers. 
  • If there is a request to repair the existing product, WSIB is guided by current industry pricing as it relates to dispenser and manufacturer repair charges.

5. What are the manufacturer warranty terms and conditions?

Hearing health providers are bound by the warranty terms and conditions offered through the manufacturer.  These terms should be available on the manufacturer's invoice. The information below provides a general overview of standard warranty terms:

  • Hearing Aids (and inclusions)
    • 3 year repairs/remakes parts and labour
    • 2 year loss or damage (one time use per aid)
  • Remote Controls - 2 years
  • All HATs - 2 years
  • Repairs/Remakes - 1 year
  • The warranty period for hearing device begins on the date of dispensing by the hearing health provider (which is also the billing service date). If a worker and their hearing care professional choose to change their hearing instrument within the 90 day trial period, the hearing device will be returned, credited and the new device be invoiced. The 90 day trial and the warranty period will begin from the new invoice date.

6. What items are expected to be included with the dispensing of a hearing aid and how does this affect billing?

Under the WSIB manufacturer agreements, the initial purchase of the hearing aid will include any component (accessory) required for the basic function and user controls including, but not limited to: remote control, receivers, tubes, domes, telecoil, microphones, amplifier, loudspeaker, digital chip, battery doors, cleaning brush/wax tool, cleaning cloths/wipes, carrying case and molds (where applicable).  These items are not expected to be billed within the 3 year manufacturer warranty period.

Outside of the manufacturer warranty, replacement accessories should be billed according to specific manufacturer product codes (with indicated pricing).

Hearing health providers are able to bill for material costs related to some accessories such as BTE ear mold tubing and ear mold impressions.

Consumables such as brushes/wax tools, cleaning cloths/wipes and carrying cases may be billed according to manufacturer product codes required beyond the initial purchase of the hearing aid.

7. How does a hearing health provider bill for services beyond the manufacturer products?

In general, it is expected that most costs related to the servicing of hearing aids and HATs are covered within the POC and are not eligible for any additional service fee billed by a hearing health provider.  An example of this would include the dispensing of a non-FM HAT.

There are some exceptions to this guideline.  Some clinic services may be billed to WSIB including an FM HAT dispensing and ear mold impression fees.

8. What are the some of the common service codes that should be used?

Service Code Description

Use product specific codes

Hearing Aids

8827

Hearing aid repairs

8828

Hearing aid remakes

8879

Hearing aid return fee/restocking charge

8886

Hearing Assistive Technology repair (non FM)

8887

Hearing Assistive Technology repair (FM)

Use product specific codes

Accessories outside of warranty period

Use product specific codes

Consumables after initial hearing aid dispensing

Other General Information

eBilling

Telus Health Solutions (THS) will process invoices that you submit to WSIB via a secure online service.

  • The service is offered at no cost to you
  • The requirements on your part are minimal
  • THS will provide you with any necessary system assistance

Faster, easier, more accurate

Online billing makes it easier for you to submit invoices, and receive payments faster. It also improves accuracy and allows you to check the status of your submissions online at your convenience.

FAQs

Read answers to commonly asked questions about the WSIB Payment System. If you have any questions or to register for electronic services, please contact Telus Health Solutions at 1-866-240-7492. To access the Telus Health Solutions Health Provider portal, you will need a username and password. You may be able to access:

  • Bill Submission
  • Bill Inquiry
  • Bill Reconciliation
  • eProvider Reporting
  • eReferrals for Specialty Clinics
  • EOBs online (Remittance statements)