Healthcare providers

General and contact

Contact information for healthcare providers

Contact details for healthcare providers, institutions and groups.

Completion documents for reimbursement of CM services and benefits

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

Electronic third-party payer billing instructions

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).

Forms Riziv

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

Formularium for Elderly Care

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

Marta

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.

Payment terms third party payer

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

Active wound dressings - healthcare providers

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

Care processes

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.

Chronic condition statute

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

Conventioning

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

Disability

Disability is a complex matter whose regulations change regularly.

Electronic applications for medicines Chapter IV

Chapter IV medicines can be requested electronically.

Electronic applications for medicines Chapter IV: frequently asked questions

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

BloomUp

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

Provide visa number

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.

Psychological care

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

Physiotherapy: nomenclature

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

Perinatal physiotherapy

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

Physiotherapists: frequently asked questions

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

Physiotherapy in ROB

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

Physiotherapy: common treatments

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

Physiotherapy: consultative examination

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

Physiotherapy: palliative home patient

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

Apply for reimbursement for speech therapy

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

Speech therapy disorders

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

Third party payer

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

Eye care prescriptions

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

CM tooth advantage

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

Chronic condition status: information for dentists

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

Oral care process

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

Orthodontics: information for dentists

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

Third-party payment scheme

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

eAttest dentist

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

Documentary evidence for patients

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.

Newsletter for nurses

CM sends a newsletter to nurses.

Nurses: general

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

Nurses: rates 2024

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

Refac

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

Starting nurses

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

Suprapubic tube (residential tube)

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

Midwives: billing and regulations

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

Hospitals: legislation and regulations

Interesting information for hospitals about changes in legislation and regulations.

Chronic dialysis

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.

Diabetes Convention

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

Official registration of newborn

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