Minutes - Payment Insurance WG 2023-04-26
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Revision as of 07:27, 26 April 2023 by KarlienErauw (talk | contribs)
Contents
Attendees
- Bart Decuypere
- Bruno Bossaert
- François Van Hees
- Karlien Erauw
- Philippe Baise
Excused
- Baptiste Pierre
- Cédric Fabre
- Flora Fosset
- Guillaume Emmanuel
- Jean-Michel Polfliet
- Stijn Goris
Agenda
- Work on eTarif
Minutes
- see here: [1]
- health care providers: GP's and dentists - specialists is still under discussion
- eTarif request: is being discussed
- eTarif response: is being discussed
- a tarif can be provided or it can be refused
- coverage will be used: https://www.hl7.org/fhir/R4/valueset-coverage-type.html
- 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 - 10 May 9AM
