In British Columbia, Podiatry services are typically accessed directly and require private payment. The office does not handle direct billing. Instead, the office issues a comprehensive invoice receipt, which patients can then present to their extended benefits provider, MSP (if eligible for reimbursement), or any other payer. Patients are advised to confirm with their benefits provider whether a referral from a GP or NP is necessary for claim submission, as certain plans may have this requirement in place.