Minutes - Payment Insurance WG 2023-04-26

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Revision as of 07:27, 26 April 2023 by KarlienErauw (talk | contribs)

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

  • 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