Difference between revisions of "Minutes - Payment Insurance WG 2023-04-26"

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(Created page with "=== Attendees === * Bart Decuypere * Bruno Bossaert * François Van Hees * Jean-Michel Polfliet * Karlien Erauw * Philippe Baise === Excused === * Baptiste Pierre * Cédric F...")
 
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* Bart Decuypere
 
* Bart Decuypere
 
* Bruno Bossaert
 
* Bruno Bossaert
* François Van Hees
 
* Jean-Michel Polfliet
 
 
* Karlien Erauw
 
* Karlien Erauw
 
* Philippe Baise
 
* Philippe Baise
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* Cédric Fabre
 
* Cédric Fabre
 
* Flora Fosset
 
* Flora Fosset
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* François Van Hees
 
* Guillaume Emmanuel
 
* Guillaume Emmanuel
 +
* Jean-Michel Polfliet
 
* Stijn Goris
 
* Stijn Goris
  
 
== Agenda ==
 
== Agenda ==
* Resolution of issues
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* Work on eTarif
  
 
=== Minutes ===
 
=== Minutes ===
* [https://build.fhir.org/ig/hl7-be/eattestation/branches/issue-13/Bundle-ex05.html eAttest issue 13]
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* see here: [https://build.fhir.org/ig/hl7-be/etariff/]
::* in th eclaim there is a fixed value for type (all professional)
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::* health care providers: GP's and dentists - specialists is still under discussion
::::* there will be other types for eAttest (oral for dentist)
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::* eTarif request: is being discussed
::::* the type will not be imposed anymore
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::* eTarif response: is being discussed
::* claimResponse
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::* 2.3 link in guidance has to be changed/removed, also in the guidance of mycarenet
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::* work will be done by next meeting
 
  
 
* eAttest: serviceRequests - linked to Referral Prescription project  
 
* eAttest: serviceRequests - linked to Referral Prescription project  

Revision as of 07:14, 26 April 2023

Attendees

  • Bart Decuypere
  • Bruno Bossaert
  • Karlien Erauw
  • Philippe Baise

Excused

  • Baptiste Pierre
  • Cédric Fabre
  • Flora Fosset
  • François Van Hees
  • Guillaume Emmanuel
  • Jean-Michel Polfliet
  • Stijn Goris

Agenda

  • Work on eTarif

Minutes

  • health care providers: GP's and dentists - specialists is still under discussion
  • eTarif request: is being discussed
  • eTarif response: is being discussed


  • 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