Dentists are accredited with Saskatchewan Health and are, therefore, automatically accredited with the WCB and authorized to treat our customers. Learn about accreditation, authorization to treat, billing, payments, reporting to the WCB and what forms you need.
Dentists are accredited with Saskatchewan Health and are therefore automatically accredited with the WCB and authorized to treat our customers.
Dentists invoice us for services provided to our customers following the College of Dental Surgeons of Saskatchewan payment schedule and assessment rules.
Summarize all services provided on your invoice.
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
- dentist’s name
- dentist’s address
- dentist’s phone/fax number
- fee code(s)
- fee code amount(s)
- number of units
Keep a daily record of the service you provide to our customers in case an audit is required.
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).
We issue payments to care providers weekly and provide 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 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 in order 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.
The Initial Report (M7) form is to be used to provide information about treatment, functional recovery and response to treatment.
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, dentists will:
- Pre-authorize all dental services, except emergency treatment, by the WCB’s procedure, Dental Services (PRO 56/2011).
- Know and follow the Saskatchewan Health standards of care 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.