Minutes - Payment Insurance WG 2023-04-12
From Health Level 7 Belgium Wiki
Revision as of 07:49, 12 April 2023 by KarlienErauw (talk | contribs)
Contents
Attendees
- Bart Decuypere
- Bruno Bossaert
- François Van Hees
- Jean-Michel Polfliet
- Karlien Erauw
- Philippe Baise
Excused
- Baptiste Pierre
- Cédric Fabre
- Flora Fosset
- Guillaume Emmanuel
- Stijn Goris
Agenda
- Resolution of issues
Minutes
- in th eclaim there is a fixed value for type (all professional)
- there will be other types for eAttest (oral for dentist)
- the type will not be imposed anymore
- claimResponse
- 2.3 link in guidance has to be changed/removed, also in the guidance of mycarenet
- eAttest: serviceRequests - linked to Referral Prescription project
- linked to serviceRequestNurses
- values snomed will remain, there are other values determined by INAMI
- category is mandatory, code is optional for the time being, might become mandatory in the future
- support for eAttest will be optional
- as such changes in master branch are approved
- this concludes the work on eAttestation
- eTarification
- new package will be created
- logical model has to be created based on the following input
- eAttest sends what has been done
- eAgreement is an accord
- eTarification is sent by the VI/OA on what will be paid
- in Claim use there are 3 values (claim, preauthorization, predetermination): field predetermination refers to the eTarifcation
- an insured patient has a profile indicated by a code
- codes titularis have to be looked up
- work on logical modal will be started
Agenda
- work on logical model of eTarification
Next meeting - 26 April 9AM
