EXTENDED HEALTH BENEFITS

Direct billing made more straightforward

When supported by your extended health plan, Konverge Wellness Clinic can submit eligible treatment claims directly to your insurer. That may reduce the amount you need to pay at your appointment.

HOW DIRECT BILLING WORKS

A simple process at your appointment

Bring your benefit information and a payment method to your visit. With your consent, our team can submit the eligible portion of your claim electronically. You pay only the remaining balance when the insurer responds in real time.

01

Bring your plan details

Have the policyholder’s name, member or certificate number, policy or group number, and your relationship to the policyholder available.

02

We submit the claim

After your eligible treatment, and with your permission, the clinic submits the claim through the insurer’s electronic billing system.

03

Pay any remaining balance

If your plan pays only part of the fee—or does not adjudicate the claim immediately—you are responsible for the outstanding amount.

PARTICIPATING INSURERS

Direct billing may be available through many benefit providers

Select an insurer to visit its official website. Participation and eligible services vary by plan, so please confirm your individual coverage before your appointment.

belairdirect Group Benefits direct billing

Public Service Health Care Plan direct billing

Benefit Plan Administrators direct billing

Canadian Construction Workers Union Benefit Trust Fund direct billing

Chambers of Commerce Group Insurance Plan direct billing

RWAM Insurance Administrators direct billing

Important: Displaying an insurer does not guarantee payment or coverage. Your plan determines eligibility, limits, deductibles, referral requirements and reimbursement amounts.

BEFORE YOUR VISIT

What to have ready

Your insurer or benefits card
Policyholder’s full name and date of birth
Policy, group, member or certificate numbers
Your relationship to the policyholder
A referral or prescription if your plan requires one
A payment method for any portion not covered

Please verify your own coverage

For privacy and plan-specific reasons, the clinic may not be able to confirm every detail of your policy. Before booking, ask your insurer whether your selected service and practitioner are covered, whether a referral is required, and how much remains in your annual benefit. Direct billing is a convenience, not a guarantee of payment.

Direct billing frequently asked questions

Does direct billing mean my appointment is fully covered?

Not necessarily. Your insurer decides the eligible amount based on your plan, remaining annual maximum, deductible, co-insurance and any referral requirements. You are responsible for amounts the plan does not pay.

Which Konverge services can be direct billed?

Eligibility depends on both the service and your individual plan. Ask your insurer whether your appointment with the selected regulated practitioner is covered, and contact the clinic if you have questions about the submission process.

Can you coordinate benefits between two plans?

Some claims may require coordination between a primary and secondary plan. Processing rules differ by insurer, so please bring information for both plans and be prepared to submit the second claim yourself if electronic coordination is unavailable.

What happens if the electronic claim is declined or pending?

You will need to pay the appointment fee and use the receipt to seek reimbursement from your insurer. A declined electronic submission does not necessarily mean the service is excluded; contact your insurer for the reason and next steps.

Is my benefit information kept private?

The clinic uses the information required to process your claim and follows applicable privacy obligations. Direct billing is completed only with your authorization.

Ready to book your visit?

Bring your extended health information and we will help make the billing process as clear as possible.