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Billing guide for Canadian family physicians

Each Canadian province has its own fee schedule for physician claims. Manitoba's is the Manitoba Physician's Manual, found on Manitoba Health's website. Unbilled's guide answers one billing question per page and cites the manual page for each answer. Manitoba is the only province in the guide.

Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.

What the Manitoba Physician's Manual is

The Manitoba Physician's Manual sets out how Manitoba Health pays physicians who bill fee-for-service. It is part of the Physician Services Agreement negotiated with Doctors Manitoba. The current version is on Manitoba Health's website (page CLMST-1).

The main parts this guide cites:

  • Rules of Application. The rules that apply across the tariffs. The manual says: "These benefits cannot be correctly interpreted without reference to the Rules of Application." (page A-119)
  • Schedule of Benefits. Each tariff, what it covers and its fee. Office and virtual visit tariffs for family medicine are in General Practice (11), which starts on page A-119. Other tariffs family physicians bill are in the General Schedule (B pages). Phone, fax and email work and immunizations are two examples.
  • Claims Submission and Payment Procedures. How claims are sent to Manitoba Health and paid (pages CLMST-1 to CLMST-7).

Edition checked

We checked this guide against the Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update). The October 1, 2026 update changed two pages, B-38 and N-11. On page B-38 it added one fee: tariff 8694, the RSV antibody for children (single dose). It changed no other fee in this guide. Every page footer in the manual still reads April 1, 2026. That includes page B-38. So our tables show the manual date as 2026-04-01.

When a new manual comes out, we check every page again and update its Last checked date.

Provinces

Provinces in the guide
ProvinceFee scheduleEdition checkedUnbilled audits here today
ManitobaManitoba Physician's ManualYes

Manitoba questions by topic

Each question below has its own page.

Missed billings

Office visits

Virtual care

Premiums

Family Medicine Plus

Phone, fax and email

Women's health

The manual and its rules

Submitting claims

Rejections and remittances

EOB stands for Explanation of Benefits. These codes on your remittance advice from Manitoba Health explain any change in payment (page CLMST-4).

Source

Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), pages CLMST-1, CLMST-4, A-119 and B-38. https://www.gov.mb.ca/health/manual/

Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.

Unbilled is not Manitoba Health or Doctors Manitoba. This page is general information, not a ruling on any claim. Manitoba Health decides what is payable. Check the current manual before you bill.

To report an error on this page, email hello@unbilled.ca.

Unbilled reads your notes against the fee schedule and finds care you provided but did not bill.

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