Third-party payment scheme for speech therapists
Speech therapists can apply the third-party payment scheme for all services.
Since January 2022, all healthcare providers can apply the third-party payment scheme for all services, regardless of the patient's status or age.
The third-party payment arrangement means that the healthcare provider or care institution receives the reimbursement of the health and disability insurance directly from CM. The patient only pays any excess .
This arrangement makes care more accessible to everyone.
When is the scheme not recommended?
If your patient is not in compliance, it is better not to apply the third-party payment arrangement, regardless of the patient's situation.
Ask for cash payment and advise your patient to arrange with CM. In case of billing in third party payer you will not receive reimbursement .
You can consult your patient's insurability via a recognized software package or the MyCareNet portal .
How can you invoice CM?
As a speech therapist, you can invoice your services in the third-party payment scheme once a month via the paper circuit .
Please note:
- Are you a non-contracted speech therapist? You cannot charge supplements via third-party payer.
- Do not forget to submit the certificates on time , in concrete terms this means within a period of two months following the end of the month in which the benefits were provided.
What should you do?
Submit your Unique Contact Point (UCP) by post or via the CM mailboxes (attn. healthcare provider team):
- two copies of a collection state (submit a maximum of 1 summary statement per month) with reference to:
- your details (name, first name, Riziv number and KBO number);
- the data of the patients concerned (name, first name, national register number);
- per certificate: amount to be charged to CM, amount to be charged to the patient and total amount to be charged to CM;
- per patient: certificates of care provided with health insurance sticker (or patient name and national register number).
The certificates must be added to the summary sheet in the same order as they are listed on the summary sheet.
Sorting by connection number is no longer necessary. You can send all certificates of all CM members in the same shipment to your UCP.
Important:
- If necessary, you will receive an overview with comments and/or corrections from CM.
- Payment must be made before the end of the month following the month in which the invoice was submitted.