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ICBC CL392: Health Service Provider Invoice

ICBC asks providers to bill on this template when their own invoice format does not meet its guidelines. It covers medical and rehabilitation services and supplies outside MSP: time charges such as therapy, consultations, assessments, reports and travel, plus expenses like mileage, parking, medical supplies and prescriptions. Each invoice must be reconciled with the treatment or rehabilitation plan ICBC approved.

Who completes it

The health care provider or clinic completes the whole invoice, including the claim number, the client's name, the date of the crash and a line for each service with the therapist's name. Nurse practitioners billing for a report ICBC requested may use CL392 or their own invoice.

Submitting and payment

How to submit it
Nurse practitioners fax or mail the invoice with the requested report, and providers without access to ICBC's provider systems, such as physicians and dentists, can use ICBC's online submission tool. ICBC Recovery Network members bill through the Health Care Provider Portal (HCPP) or the HCPIR application instead.
Who pays
ICBC pays the provider for services on the approved plan; its guidance for nurse practitioners adds that it cannot process payment if the claim number, date of accident or patient name is missing.

Good to know

  • Treatment past the approved end date, or beyond the approved number of treatments, cannot be invoiced until a new treatment plan is in place.
  • Use the patient's legal first and last name and date of birth as shown on their BC driver's licence or BC Services Card; adding the PHN speeds matching.
  • Service codes are no longer required on CL392: describe each service, the hours or sessions, the rate and any GST, with the service date.
  • The fillable PDF can be saved in Adobe Acrobat Reader XI or later, and it shows the prior amount billed to date alongside the invoice total.

Get the official form

Download the current version from the source each time; forms change without notice.

Health service provider invoice

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

When should I use ICBC form CL392?

When your own invoice format does not follow ICBC's invoicing guidelines. Nurse practitioners may use CL392 or their own invoice when billing for a report ICBC requested, as long as it shows the ICBC claim number, date of accident and patient name. Recovery Network members usually bill through HCPP or the HCPIR application instead of a paper invoice.

What does ICBC need on a health provider invoice?

The ICBC claim number, the date of the accident, the payee and the patient's details; ICBC's nurse practitioner guidance says it cannot process payment if the claim number, accident date or patient name is missing. Use the legal name and date of birth on the patient's driver's licence or BC Services Card, and add the PHN if you have it.

Can I invoice ICBC for treatments beyond the approved plan?

No. ICBC's invoicing page says invoices for treatment past the approved end date, or beyond the approved number of treatments, cannot be submitted without a new treatment plan. The CL392 form itself states that each invoice must be reconciled with the pre-approved treatment or rehabilitation plan.