WorkSafeBC recommends this one-page cover sheet when a specialist faxes a consultation report on an injured worker. It identifies the consult date, the worker and claim number, and the practitioner and payee numbers, so the report can be matched to the claim. The report itself is the specialist's own narrative, and WorkSafeBC must have it before it will process the invoice.
The specialist or their office staff fills in the cover sheet: date of consult, page count, the worker's name and WorkSafeBC claim number, and the practitioner's name, facility, practitioner number and payee number. The consult report behind it is written by the specialist.
Download the current version from the source each time; forms change without notice.
Physician Consult Report Fax Cover Sheet (Form 83D556)
This form isn’t published as a fillable PDF. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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WorkSafeBC recommends it rather than requiring it. Its specialist requirements say each consult report must show the report type, the worker's name and claim number, and the date of service or visit, and that reports must be faxed. Form 83D556 collects those details along with the practitioner and payee numbers and the page count.
No. WorkSafeBC must receive the report before it can process the invoice, so fax the report promptly. Invoices should reach WorkSafeBC within 90 days of the service date, preferably electronically through Teleplan, since paper or faxed MSP fee items do not get the premium paid on electronic invoices. Invoice status can be checked online.
Not for trauma care or consultations, including psychiatry. Only surgery requires WorkSafeBC approval: fax the Authorization Request for Surgery (83D6) with the specialist's name and the date, the worker's name and claim number, the proposed surgery and its location, and the consult report.