Electronic invoicing to health insurers.
From the Katz grid to payment, without re-keying.
eFact — accreditation in progress
eFact third-party-payer billing of INAMI fixed fees to Belgian health insurers, your residents' insurability and the care agreements — automated, reliable and compliant, in a single care-home software.
- Zero re-keying, from resident record to insurer
- Fewer rejections thanks to insurability checking
- Tracking of acknowledgements, settlements and payments
- WalCareNet-approved (Wallonia) — MyCareNet and IrisCareNet in progressNet
€800 INAMI premium · accredited-vendor software
Paper is disappearing. Electronic invoicing is becoming the norm.
Paper billing to health insurers is being phased out, sector by sector. For care homes, the announced deadline is 1 October 2026. And eFact invoicing can only be done with software from an accredited vendor.
€800 premium
INAMI grants a one-off €800 premium to care homes that switch to electronic invoicing. Anticipate rather than endure.
Accredited software required
eFact only works with a vendor accredited by the health insurers. Resthome is built to the official MyCareNet / WalCareNet-AVIQ standards, accreditation in progress.
Ready in time
Migrating your billing takes time: data, configuration, testing with the insurers. Starting now means being calm at the deadline.
Insurer billing in a care home, without the pain
Rejections, payment delays, re-keying, manual settlement tracking: Resthome removes this friction.
Fewer rejections
A resident who is uninsured at billing time causes a rejection and a delay. Upfront insurability checking makes your submissions reliable.
Cash flow under control
Clear tracking of acknowledgements, settlements, amounts accepted, rejected and paid — you know where each submission stands.
Zero re-keying
Batches are generated from stays and fixed fees, with no double entry or copying between tools.
Belgian compliance
The MR/MRS/day-care regulatory complexity is handled: you stay compliant without becoming an expert.
A single flow
Insurability, billing and care agreements in the same journey, from the resident record.
Time saved
The billing team focuses on the cases to handle, not on the mechanics of sending.
One operation, not three tools
In Resthome, everything starts from a single source — the resident record — and flows automatically all the way to the insurer's payment.
The billed category derives automatically from the Katz assessment and the insurer's agreement in force: you cannot bill a category the insurer has not granted. No more double entry between care records, billing and accounting — so no more copying errors.
Everything you bill, in one place
Care fixed fees, stay types, insurer share and resident share: billing covers the reality of a care home.
Four stay types
MR, MRS, day-care centre and short stay are distinguished on each line, each with its own fixed-fee rules.
Fixed fees by Katz category
The INAMI care fixed fees by dependency category (O, A, B, C, Cd, D) are automatically translated into the codes expected by the insurers.
Insurer share and resident share
The daily fixed fee is split between the share covered by the insurer (billed as third-party payer) and the share charged to the resident. Resthome computes and splits both.
Absences and hospitalisations
Absences, hospitalisations and leave are factored into the fixed-fee calculation, per the rules in force — no surprise at settlement.
Credit notes and corrections
Full or partial credit note, resubmission of a rejected line, correction of a closed month: every real invoice case is covered, within INAMI rules.
Resubmission of rejections
A line rejected by the insurer is resubmitted referencing the original invoice — you recover the money owed without re-entering everything.
Three services integrated with the Belgian ecosystem
eFact, MDA insurability and eAgreement — a single flow, from Resthome.
eFact (INAMI billing)
Electronic third-party-payer billing of daily fixed fees, per insurer, to the network of health insurers.
- Batches generated automatically per insurer
- Full tracking of return messages
- Handling of settlements and rejections
- Credit notes and corrections
Insurability check (MDA)
Before each billing, the resident is checked with their insurer; the record is updated automatically.
- Individual or batch checking
- BIM status updated automatically
- Identification of the insurer and insurer codes
- Uninsured residents isolated before sending
eAgreement (care agreements)
Agreement requests sent to insurers: admissions, extensions, Katz category changes, end of stay.
- Admission and extension requests
- Change of dependency category
- Tracking of approvals and refusals
- Official annexes pre-filled
The software tells you what to do today
An action dashboard, automatic checks and monitored deadlines: your office handles the right cases, one click at a time.
Action cockpit
To send, awaiting the insurer, to correct, to reconcile, rejected lines, late payments: everything to do is grouped and actionable in one click.
Insurability check before sending
Uninsured or erroneous residents are isolated in a 'held' batch instead of getting the whole submission rejected — fewer two-week round-trips with the insurer.
Monitored deadlines
Reminder of the regulatory sending deadline (the 20th of the following month) and an alert when an insurer's reply is late: no longer missing a deadline means no longer losing revenue.
Rejections explained in plain language
Nearly 2,000 official rejection causes (INAMI and WalCareNet) are translated into plain language, with the suggested action — no more deciphering codes.
One-click batch sending
All the month's batches go out together, at the pace accepted by the network, without manual supervision.
Payment reconciliation
Each insurer settlement feeds the paid / unpaid status into the accounts, with statutory late interest if the insurer pays past the deadline.
The eFact flow, step by step
From insurability check to insurer payment.
Insurability (MDA)
Each resident is checked with their insurer, with their status and insurer.
Batches per insurer
The 'insurer share' amounts are grouped automatically per insurer. One batch = one submission.
Secure transmission
The batch is transmitted electronically and securely to the insurers' network. An acknowledgement confirms receipt.
Settlement and payment
The insurer returns an acknowledgement and then a settlement: amounts accepted, rejected and actually paid.
Built on the official Walloon and federal standards
The right networks, the right formats, the right security — to get paid without friction.
MyCareNet, WalCareNet, IrisCareNet
Federal network and regional Walloon (AVIQ) and Brussels networks: Resthome sends on the right channel, with correct routing per insurer federation.
Walloon 'Compte C'
Since the 6th State Reform, the Walloon regional share follows the 'Compte C' circuit. Resthome integrates this circuit into its submissions.
Security and traceability
Exchanges signed and encrypted per eHealth requirements, with legal log retention. Every submission is traced: test or production, never any confusion.
Accreditation in progress, honestly
Resthome is accredited by the CIN on WalCareNet for insurability (MDA). For eFact, accreditation is in progress: we never present it as granted.
Designed for Belgian care homes
Care homes (MR), nursing homes (MRS), day-care centres and short stays: the billing team and management run insurer billing without technical expertise, while staying compliant with Belgian regulations.
Frequently asked questions — electronic invoicing in a care home
What is eFact for a care home?
eFact is the electronic third-party-payer billing of INAMI daily fixed fees to Belgian health insurers. Instead of paper invoices, your care home sends its batches electronically and securely, and receives acknowledgements and settlements in return.
Is electronic invoicing becoming mandatory for care homes?
Paper billing to health insurers is being phased out sector by sector, and eFact electronic invoicing is becoming the norm. It can only be done with software from an accredited vendor. The announced deadline for care homes is 1 October 2026: it is best to prepare the switch now.
Is there a premium for invoicing electronically?
Yes. INAMI grants a one-off premium of €800 to care homes that switch to electronic invoicing — one more reason to anticipate the deadline rather than endure it.
Why are invoices rejected by health insurers?
Most often: a resident who is uninsured or poorly covered at billing time, or incorrect insurance data. That is why upfront insurability checking (MDA) is essential to sharply reduce rejections and payment delays.
Is Resthome accredited for insurer billing?
Resthome is accredited by the National Intermutualist College (CIN) on WalCareNet for insurability checking (MDA). eFact (electronic invoicing) is built to the official MyCareNet / WalCareNet-AVIQ standards and its accreditation is in progress. We never present eFact as already accredited.
Do you have to juggle several software tools?
No, and that is the whole point. The resident record, the Katz scale, insurability, care agreements, insurer billing and accounting live in a single system. The billed category derives automatically from the Katz assessment and the insurer's agreement: no re-keying, no export between tools.
Which networks: MyCareNet, WalCareNet and IrisCareNet?
MyCareNet is the federal exchange network with health insurers; WalCareNet is its Walloon regional counterpart (AVIQ, with the 'Compte C' from the 6th State Reform) and IrisCareNet the Brussels one. Resthome sends on the right network for your situation.
How long until payment, and what is a settlement?
After sending, the health insurer returns an acknowledgement and then a settlement detailing the amounts accepted, rejected and actually paid. Resthome centralises this tracking, reconciles payments and flags delays — including the statutory late interest owed by the insurer.
Does Resthome suit small and large care homes alike?
Yes. Whether you manage a few dozen or several hundred residents, billing, insurability checking and care agreements are automated the same way, for MR, MRS, day-care and short stays.
La documentation eFact répond à vos questions
Guides pas à pas, rédigés pour les équipes de maisons de repos — consultables librement.
Facturation électronique (eFact), pas à pas · Corriger un rejet eFact · Suivre les paiements et décomptes
Switch to electronic invoicing before the 1 October deadline.
Insurer billing, insurability and care agreements, integrated in Resthome — MR · MRS · day-care.