Optometrists are accredited with Saskatchewan Health and are, therefore, automatically accredited with the WCB and authorized to treat WCB customers. Learn about accreditation, authorization to treat, billing, payments, reporting to the WCB and what forms you need
Optometrists are accredited with Saskatchewan Health and are, therefore, automatically accredited with the WCB and authorized to treat WCB customers.
Optometrists’ fees for services provided to WCB customers are based on the Saskatchewan Medical Services Branch (MSB) payment schedule and assessment rules. For WCB specific fees, use the WCB’s Physician’s Fee Schedule.
Summarize all services provided using the Doctor’s Billing (DOC) form or your own invoice form.
Payment can only be issued if the invoice meets our criteria. The following information is required:
- worker’s name
- worker’s address
- Provincial Health Number (PHN)
- date of birth
- date(s) of service
- care provider number
- clinic number
- optometrist’s name
- optometrist’s address
- optometrist’s phone and fax number
- fee code(s)
- fee code amount(s)
- number of units
If the WCB receives an application for payment after a 12-month period from the time the medical aid is provided to an injured worker, the WCB will not pay any account rendered by a physician, surgeon, hospital or other health care professional or institution. See WCB procedure, Medical Aid Billings – Payment (PRO 53/2006).
Keep a daily record of the service you provide to our customers in case an audit is required.
If you need to update your address, please contact the Medical Services Branch (MSB).
When an injury claim is disallowed:
- Optometrists are reimbursed by the Saskatchewan Medical Services Branch (MSB) for treatment provided.
- The WCB pays all reporting fees to date of notification.
The WCB issues payments to care providers weekly and provides statements to confirm the payments were issued. These statements may include explanatory codes to provide details regarding specific services.
Care providers, like employers and workers, are required to report to the WCB any work-related injury that requires medical attention, whether or not the worker needs time off work beyond the day of the injury. Prompt reporting allows the WCB to arrange timely payment of benefits to injured workers.
Under legislation, care providers do not require a signed release from an injured worker to provide medical information to the WCB because:
- WCB staff need customers’ medical records to process claims and appeals.
- The WCB may need to provide copies of reports to other care providers, such as assessment teams, treatment centres and specialists, to assist in obtaining the best possible assessments and treatments for injured workers.
- In the case of an appeal, a worker’s records may be made available to an employer or others, but only with the worker’s approval.
When treating WCB customers, care providers assume certain roles and responsibilities. The WCB relies on all care providers to ensure that:
- All work-related injuries requiring medical aid are reported promptly.
- All treatment is necessary and consistent with established agreements.
- All invoices accurately reflect the services provided.
- The employer and worker are aware of current restrictions to allow early return to work.
When treating WCB customers, optometrists will:
- Comply with the Saskatchewan Health standards of care.
- Bill the WCB in accordance with the fee schedule established for your professional group.
- Demonstrate ethical practice standards on a day-to-day basis, including disclosure to any prospective WCB customer of any business relationship you may have with their employer. This allows the worker to make an informed decision regarding their choice of care provider.
- Avoid mentioning in either your clinic’s advertisements or personal advertisements that you treat WCB customers or you are affiliated with the WCB in any way.