MSI Billings - DFP

Most family physicians in Nova Scotia are paid through a fee for service model. The Medical Services Insurance (MSI) plan covers the cost of most physician services for eligible Nova Scotia residents. Family Physicians establishing a practice in Nova Scotia should visit the New Registration section of the MSI Webpage

Information on the Physician’s Manual, Billing Instructions and Physicians’ Bulletins can be found on the Billings Publications section of the MSI webpage. 

The Master Agreement is an agreement between the province of Nova Scotia and Doctors Nova Scotia regarding funding of physician services. The Master Agreement and the corresponding Amendments can be found on the MSI webpage.

Doctors Nova Scotia offers billing education sessions throughout Nova Scotia. For information on upcoming sessions please contact Deborah Wentzell at tel: 902-468-8935 Ext. 232 or

Members of Doctors Nova Scotia may access an online billing module or visit

The Department of Family Practice has developed a billing manual for physicians in community practice and those working as Family Physician Hospitalists. For more information please contact us at

Resource Documents