Healthcare providers

Contact details for healthcare providers, institutions and groups.

CM wants to make every effort to arrange reimbursement without patient intervention.

Below you will find the invoicing instructions for the electronic third party payer, for invoicing at federal level and for AVIQ (specific to certain institutions in Wallonia).

You can easily find all Riziv forms grouped by specialization via the links below.

The Elderly Care Formularium is a guideline for prescribing medicines to older patients.

In Marta you will find everything about the social rights, reimbursements and facilities that people in need of care or informal caregivers are entitled to.

For each sector, the legislator* has provided payment terms for the payment of invoices submitted in the third-party payer system.

Home-care patients with chronic wounds receive a 20 percent reimbursement of the cost of active wound dressings.

A care process is a collaboration contract between the patient, the general practitioner and the specialist. Everyone hereby commits to the optimal follow-up of a chronic disease.

Persons with a chronic condition who meet the conditions are entitled to chronic condition statute.

As a conventional doctor, you subject your entire practice (fees and travel allowances) to the conditions of the doctor-health insurance fund agreement.

Disability is a complex matter whose regulations change regularly.

Chapter IV medicines can be requested electronically.

The answer to many frequently asked questions about the electronic application for doctors.

Taking the step towards psychological support is sometimes a big step.

If you want to provide your visa number to CM in the context of the CM benefit for psychological care, you can do so with this form.

Patients who are CM members and are in compliance with their CM contribution receive reimbursement for primary psychological care.

As a physiotherapist, how do you correctly apply the nomenclature?

You can only charge for perinatal physiotherapy if it was prescribed in preparation for a birth or in the context of postnatal rehabilitation.

Questions that physiotherapists may ask themselves about the administration involved in practicing their profession.

If you treat a patient staying in a rest home for the elderly (ROB), you must use specific dispensing codes.

This concerns benefits in kind included in art. 7, §1, 1° of the nomenclature. The application rules are in art. 7, §10.

You can perform a consultative physiotherapy examination before a treatment is prescribed.

Treatments for a palliative home patient that you carry out at the patient's home are fully reimbursed.

As a speech therapist you will find information about Article 36 of the nomenclature here.

As a speech therapist you will find here all speech therapy disorders for which the health insurance reimburses (Article 36 of the nomenclature).

Speech therapists can apply the third-party payment scheme for all services.

In this section you, as an optician, will find information about the prescriptions that ophthalmologists use.

CM members receive a reimbursement of up to 1,050 euros for orthodontics and dental prostheses.

Persons with a chronic condition may be entitled to chronic condition status.

The amount of the personal share for an oral care program depends on the reimbursement of dental care provided the previous year.

Read more about the notification at the start of orthodontic treatments on the Riziv website.

Dentists can apply the third-party payment scheme for all services.

When paying in cash, as a dentist you can send your certificates for the care provided electronically.

Since 2015, you must provide a certificate to your patients, regardless of whether you have a convention or not. This supporting document is an additional document.

CM sends a newsletter to nurses.

This section contains important information for (starting) nurses. Regular updates can be found here.

The overviews show the fees and reimbursement rates for common services performed by nurses.

Refac is the CM system to handle the billing of nurses in the third-party payer scheme.

Here you will find the basic information to get started as a new home nurse.

An indwelling tube is a flexible, thin tube that is placed through the lower abdomen into the bladder (suprapubic tube).

This section contains information for midwives about the regulations and the system for electronically submitting third-party payer invoices.

Interesting information for hospitals about changes in legislation and regulations.

Since August 1, 2016, there has been an agreement with hospitals that have a recognized dialysis center. This agreement regulates the flat rates for the hospitals and patients and also the fees for the doctors.

The diabetes convention is an agreement between the patient and the Riziv.

The hospital can submit an application to CM to officially register a newborn child as a dependent.