eFact per act¶

In third-party payment, the patient pays only their personal share and the mutuality pays you the rest. WideCare gathers those acts into eFact batches and builds the 920000 file of each.

Before the first batch¶

On your certificate (eHealth → Configuration → My eHealth identity), the eFact per act group holds:

• eFact profession code: the code of your profession in the INAMI table;

• Agreement status: 0 - No agreement, 1 - Adhering to the agreement, 2 - Partially adhering or 9 - Not adhering;

• eFact bank account: the account the mutualities pay you on.

Each patient needs a mutuality on their card.

Claim the acts¶

1. Open Practice → Billable Acts and select the acts in third-party payment.

2. Click Actions → Claim in eFact.

WideCare puts the acts in today’s batches, one per doctor and per mutuality, and opens them. An act that cannot be claimed is left aside, with the reason in the batch’s thread.

The batch¶

eHealth → eFact per act lists the batches: reference, envoi date, practitioner, insurer, envoi number, number of acts, amount claimed and status.

A batch shows, under Envoi, the Practitioner certificate, the Third-party payer NIHII, the Insurer and its OA code; under File, the Environment, the Bank account, the Patients, the amount Claimed from the insurer and the Patient shares. The Acts tab lists the acts with their eFact invoice number.

1. Click Generate the file. When the file cannot be built, the Validation errors say why: correct the acts or the patient, then click Generate again.

2. Download the 920000 file.

3. Once the file has left, click Mark as sent.

Reset to Draft brings a generated batch back to draft; Cancel frees its acts, until it is sent.

What’s next¶

• Per-act billing

• The INAMI nomenclature