Difference between revisions of "Minutes - Payment Insurance WG 2023-04-12"
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::::* support for eAttest will be optional | ::::* support for eAttest will be optional | ||
::* as such changes in master branch are approved | ::* as such changes in master branch are approved | ||
| + | ::* this concludes the work on eAttestation | ||
* eTarification | * eTarification | ||
| Line 39: | Line 40: | ||
::* eTarification is sent by the VI/OA on what will be paid | ::* 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 | ::::* 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 === | === Agenda === | ||
| − | * work on eTarification | + | * work on logical model of eTarification |
'''Next meeting - 26 April 9AM''' | '''Next meeting - 26 April 9AM''' | ||
Revision as of 07:49, 12 April 2023
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
