Third party payment scheme

Every nurse may apply the third-party payer scheme, both contracted and non-conventional.

What are the consequences for nurses?

• Its application takes place without additional administrative formalities .
• The application for the third-party payer number and the notification of changes remain unchanged for groups where nurses invoice under a joint group number, even if both conventional and non-conventional nurses are affiliated.
• CM must pay the invoice within two weeks .

Modalities

• Invoicing must be done electronically (MyCareNet). The practical modalities and billing instructions remain unchanged.
• You no longer need to send certificates for assistance provided, summary statements and regulations to CM . Prescriptions are kept in the nursing file for five years .
• Always provide proof of the invoiced benefits and amounts to the patient.

Reading the eID card is mandatory. More information can be found on the Riziv website:

• verify the patient's identity with third party payer;
• additional information.

Important :

For beneficiaries without increased compensation, health insurance reimbursement is reduced by 25 percent for services provided by non-contracted nurses.