Per-act billing

A billable act is one act performed for one patient on one day: its code, its fee and who pays what. The acts of a consultation become the patient’s invoice.

Who pays what

Each act carries:

  • Code and Description: the act in your country’s nomenclature;

  • Quantity and Unit Fee;

  • Fee: quantity × unit fee;

  • Patient Share: what the patient owes under the insurance rules;

  • Insurer Share: the fee minus the patient share;

  • Third-Party Payment: ticked when the insurer is billed directly for its share.

Without third-party payment, the patient’s invoice carries the whole fee. With it, the invoice carries the patient share only.

The patient share lies between zero and the fee, and the quantity is always positive.

Bill a consultation

  1. Open the consultation and go to the Acts tab.

  2. Add a line per act: Code, Description, Quantity, Unit Fee, Patient Share, and tick Third-Party Payment when it applies.

  3. Check the Total Fee and the Total Patient Share under the lines.

  4. Click Create Invoice.

WideCare prices the acts not priced yet, then creates the invoice. The Invoices button of the consultation opens it.

The billable acts

Practice → Billable Acts lists every act, open on those To Invoice. The same list sits in Invoicing → Customers → Billable Acts, next to the customer invoices.

Status

Meaning

Draft

Recorded, not priced yet.

To Invoice

Priced, waiting for its invoice.

Invoiced

On an invoice: locked.

Cancelled

Will not be billed.

On an act:

  • Price prices the act and moves it to To Invoice: the amounts you typed stay, unless your country’s tariff gives them;

  • Create Invoice invoices it;

  • Reset to Draft brings back a cancelled act or one to invoice;

  • Cancel withdraws an act that is not invoiced.

To invoice a batch, select the acts in the list, then Actions → Create Invoices: one invoice per patient.

The invoice

The invoice is an ordinary customer invoice of the Invoicing app: one line per act, without tax. Its Acts button opens the acts it carries.

When an invoice is cancelled or deleted, its acts go back to To Invoice. An invoiced act can be neither changed nor deleted.

In Belgium

The INAMI nomenclature prices the act — the fee and the personal share, ordinary or BIM — and the acts in third-party payment are claimed from the mutualities with the eFact per act: see The INAMI nomenclature and eFact per act.

What’s next