Minutes - Payment Insurance WG 2023-04-12

From Health Level 7 Belgium Wiki
Revision as of 07:50, 12 April 2023 by KarlienErauw (talk | contribs) (→‎Minutes)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

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
  • work will be done by next meeting
  • 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