The WCB can authorize a pharmacy to direct bill the WCB for a worker’s medication. Learn about accreditation, authorization to treat, billing and payments.
The WCB can authorize a pharmacy to directly bill the WCB for a worker’s medication. The authorization provided to the pharmacy will specifically identify the type of medication the WCB will cover.
Pharmacists are encouraged to access the Pharmaceutical Information Program (PIP) at www.ehealthsask.ca prior to issuing prescriptions to WCB clients, to avoid duplicate issuance.
To prevent hardship to a WCB customer, bill the WCB directly for approved prescriptions.
The WCB should be billed for the total amount of the prescription cost. Please do not bill a third party for any portion of the approved prescription.
Please see the below quote, taken directly from Saskatchewan Health – Program and Services website: Saskatchewan Drug Plan
Residents whose health services are covered under existing federal programs through First Nations and Inuit Health, Health Canada, Department of Veteran Affairs, Workers’ Compensation and federal penitentiaries are not eligible for Drug Plan benefits from Saskatchewan Health.
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
- prescription fill date*
- care provider number
- pharmacy name
- pharmacy address
- pharmacy store number (if applicable)
- pharmacy phone and fax number
- prescription amount(s)
- invoice total
*Note: Please only include one month per invoice.
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 (PRO53/2006).
Keep a daily record of the service you provide to our customers in case an audit is required.
By submitting WCB invoices online, they will be processed through an automatic payment process. This means your invoices will be paid sooner than if you fax or email them to us.
Online submission methods:
- Single submission: Submit an individual invoice related to an injured worker.
- Batch submission: If you use Accuro/QHR Technologies or CBS Navicert software to keep track of your medical records, you can submit a batch of invoices to the WCB online. As long as you have the access to submit invoices online, you can submit all invoices from any time period and from any care provider at the same time.
Save time and give your users the ability to upload invoices online.
Eliminate entry duplication by uploading invoices from your system to the WCB website. Here is the document with instructions on how to update your software: Everything a vendor needs to know.
Here are the files needed for updating your system to be compatible with the medical invoice batch submission process:
If you have any questions with the batch submission process or are ready to test your system with us, please contact the webmaster.
Vendors who are already capable of uploading batch invoices:
|Accuro/QHR Techologies||CBS Navicert Software|
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.
- 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, pharmacists will:
- Access the Pharmaceutical Information Program (PIP) at www.ehealthsask.ca prior to issuing prescriptions to WCB clients to avoid duplicate issuance.
- Get approval on a file-by-file basis before treating WCB customers.
- Show ethical practice standards on a day-to-day basis. This includes informing any prospective WCB customer of business relationships you may have with their employer, so the worker can decide whether they want to choose you as a 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.