Payments Process

An Assignment of Payment form must be completed by the locum physician and submitted online through the locum’s LRBC account.

For RFPLP and office-based assignments under the RFPALP and RSLP programs, locum physicians must assign payment for fee-for-service billings to the host physician for the term of the assignment.

Claims must be submitted using the host physician payment number and the locum physician practitioner number.

For hospital-based/on-call locum assignments, under the RFPALP and RSLP programs the locum must apply for an additional MSP payment number and bill fee-for-service claims under that payment number for the duration of the assignment.

Host physicians are expected to submit claims within two weeks of the end of the locum assignment and refused claims within two weeks of the refusal date.

Host physicians will pay the locum directly for those services not covered by MSP, e.g. private, Insurance Corporation of BC (ICBC), WorkSafeBC, reciprocal billings, etc. Payment should be made prior to the locum leaving the assignment, less the 40% overhead deduction.

Locum physicians will normally assume the host physicians’ on-call responsibilities and will receive reimbursement from the health authority for the on-call availability (MOCAP) services provided during the assignment.

Host physicians must provide locum physicians with a detailed reconciliation of claims submitted when requested.

An Assignment of Payment form must be completed by the locum physician and faxed to 1.877.387.4757 to the attention of Locums for Rural BC or scan and email to info@locumsruralbc.ca

For RGPLP and office-based assignments under the RGPALP and RSLP programs, locum physicians must assign payment for fee-for-service billings to the host physician for the term of the assignment.

Claims must be submitted using the host physician payment number and the locum physician practitioner number.

For hospital-based/on-call locum assignments, under the RGPALP and RSLP programs the locum must apply for an additional MSP payment number and bill fee-for-service claims under that payment number for the duration of the assignment.

Host physicians are expected to submit claims within two weeks of the end of the locum assignment and refuse claims within two weeks of the refusal date.

Host physicians will pay the locum directly for those services not covered by MSP, e.g. private, Insurance Corporation of BC (ICBC), WorkSafeBC, reciprocal billings, etc. Payment should be made prior to the locum leaving the assignment, less the 40% overhead deduction.

Locum physicians will normally assume the host physicians’ on-call responsibilities and will receive reimbursement from the health authority for the on-call availability (MOCAP) services provided during the assignment.

Host physicians must provide locum physicians with a detailed reconciliation of claims submitted when requested. Payment to the locum physician is made by Locums for Rural BC.

MSP Payments

Locums for Rural BC will submit the locum guaranteed minimum daily rate for payment through MSP for provision of services for each day (24 hours) on assignment, paid semi-monthly.

Locums for Rural BC will also calculate a travel honorarium consistent with each program.

In the case of the locum replacing the host physician in their office practice, the MSP will recover 60% of the locum’s FFS claims for the program; the host physician will receive 40% of the locum’s paid MSP claims, paid on a semi-monthly basis by MSP.

In cases where 60% of the paid MSP claims are greater than the guaranteed daily rate (averaged over the length of the assignment, based on a 24-hour day) or the guaranteed weekend rate, top-up will be calculated and paid to the locum on a quarterly basis.

Where the locum physician solely provides MOCAP services for emergency care, as designated by the HA, the host physician will not receive any overhead component.

In cases where there is an Alternative Payment Program (APP) arrangement in place, Fee-For-Service is not billed. Therefore, the guaranteed daily rate is paid and no top-up is applied.

Note: Host physicians cannot bill MSP while locum physicians are providing services on their behalf under rural locum programs.