How many units of tariff 8191 (indirect clinical services) can I claim in Manitoba?
In Manitoba tariff 8191 pays $44.49 for each full 15 minutes of indirect clinical services: work done for a patient enrolled on your Home Clinic panel when the patient is not there. Each calendar week you may claim two units (30 minutes) for each 250 enrolled patients, and never more than 12 units (manual page A-124). A panel of 1,300 patients allows 10 units a week. You must also have provided primary care to your panel during that week.
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.
Manitoba fee for 8191
| Tariff | Description | Fee | Manual page | Manual dated |
|---|---|---|---|---|
| 8191 | Indirect Clinical Services provided to the physician's enrolled panel of patients, per full 15 minutes, to a maximum of 12 units per week, subject to the below maximum | $44.49 | A-124 |
When it applies
- Tariff 8191 is one of the Family Medicine Plus tariffs (A-122). The Family Medicine Plus rules quoted here apply to it.
- “Family Medicine Plus tariffs may only be claimed for enrolled patients on the claiming physician’s Home Clinic panel.” (A-122)
- The limit is 30 minutes per calendar week for each 250 patients on your panel. A calendar week is Sunday to Saturday. The manual works the example as “1,300 / 250 = 5.2 = 5 30-minute blocks, or 10 units of 8191 per calendar week.” (A-124)
- “The physician shall be limited to maximum of three (3) hours (or 12 units) of Indirect Clinical service per calendar week.” (A-124)
- “The physician shall have provided primary care services to their enrolled panel of patients during the calendar week that they are claiming Indirect Clinical services.” (A-124)
- The time claimed is for “patient-specific services provided when the patient is not present.” (A-124)
Weekly limit by panel size
Worked from the A-124 rule and its example, which counts 5.2 blocks as 5. Each full 250 patients allows 30 minutes (2 units) at $44.49 a unit. The weekly limit is never more than 12 units.
| Enrolled panel | 30-minute blocks a week | Units a week | Fee at the weekly limit |
|---|---|---|---|
| 250 to 499 | 1 | 2 | $88.98 |
| 500 to 749 | 2 | 4 | $177.96 |
| 750 to 999 | 3 | 6 | $266.94 |
| 1,000 to 1,249 | 4 | 8 | $355.92 |
| 1,250 to 1,499 | 5 | 10 | $444.90 |
| 1,500 or more | 6 | 12 | $533.88 |
What counts as indirect clinical services
- Documentation of patient interactions and charting. (A-124)
- Review of results: labs, imaging, consultations and other reports. (A-125)
- “Preparing referrals and requisitions, excluding-consultation.” (the manual's wording, A-125)
- Chart review. (A-125)
- Care coordination and care planning. (A-125)
- Clinical teaching arising from direct patient care for medical students, residents, nurses and nursing students, nurse practitioners and nurse practitioner students, and midwives and midwifery students. (A-125)
- Reviewing and analysing clinically related information or research directly related to the needs of a particular patient. (A-125)
- Completing clinically required forms, reports and medical certificates of death. (A-125)
When it does not apply
- Services requested or required by a third party for other than medical requirements. Examples are insurance forms and reports, medical-legal letters and reports, insurance or industrial examinations, and physical fitness examinations for school or camp. (A-125)
- In a calendar week in which you provided no primary care services to your enrolled panel. (A-124)
- “Family Medicine Plus tariffs may not be claimed in combination with Chronic Disease Management Tariffs: 8431, 8432, 8433, 8434, or 8435.” (A-124)
Worked example
Sample week: Sunday, November 1 to Saturday, November 7, 2026. You have 900 patients enrolled on your panel. You see panel patients in clinic on four days this week. Outside those visits, you spend 70 minutes reviewing lab and imaging results, charting and completing a clinically required form.
This example adds the week's minutes together across patients. Manual pages A-124 to A-125 do not say how the time is to be recorded.
Your weekly limit: 900 / 250 = 3.6, which is 3 thirty-minute blocks, or 6 units.
Seventy minutes is 4 full 15-minute units. Claim 4 units of 8191: $177.96. Had you spent 90 minutes or more, you would reach the limit of 6 units: $266.94.
What is often not billed
Charting and reviewing results count toward 8191. The manual names “Documentation of patient interactions and charting” and “Review of results” as indirect clinical services (A-124 to A-125). Three conditions apply. The patient is enrolled on your panel. The patient is not present. You provided primary care to your panel that week. Only full 15-minute units are claimed (A-124).
Source
Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), pages A-122 to A-125. 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.
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