Healthcare providers

Your direct line to contact CM as a healthcare professional.

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).

With ProCM, CM has developed a new and secure platform tailored to the healthcare provider. It is a useful tool when, for example, you want to close the financial year.

With Recip-e you send prescriptions electronically to the pharmacist.

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

CM has a relationship manager for healthcare providers in every province. That is your personal point of contact.

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

If tube feeding is not possible, necessary nutrients can be administered via an intravenous infusion.

As a healthcare provider you have a lot of administrative tasks and files to maintain.

Ostomy equipment has a particular way of being reimbursed, taking into account the patient's needs and preferences.

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

Chronic pain patients are entitled to reimbursement for paracetamol-based painkillers.

Below you will find a list of useful links to, among others, the Riziv website.

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?

Reimbursement is possible for certain conditions as an F-acute condition.

For certain conditions, reimbursement of physiotherapy treatments is possible as an F-chronic condition.

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

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

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

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 here about article 36 of the nomenclature.

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.

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

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

CM members receive a reimbursement of up to 1,500 euros for orthodontics and up to 1,050 euros for dental prostheses.

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

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

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

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

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.

On October 1, 2015, the Royal Decree of September 18, 2015 came into effect with the new provisions on the application of the third-party payment scheme.

CM sends a newsletter to nurses.

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

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

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.

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.

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.