Belgian MyCareNet eTariff Profiles
1.0.0 - STU Belgium flag

Belgian MyCareNet eTariff Profiles, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/etariff/ and changes regularly. See the Directory of published versions

CodeSystem: refusal values

Official URL: https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-refusal-values Version: 1.0.0
Draft as of 2024-10-02 Computable Name: BeCSRefusalValues

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem be-cs-refusal-values

This case-sensitive code system https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-refusal-values defines the following codes:

CodeDisplay
001 Renewal period not yet expired
002 Maximum number of services already reached over the authorized period (and/or no derogation granted)
003 Service no longer authorized (already reimbursed) for this location (tooth, quadrant, etc.)
004 L600 value reached for authorized period
005 No MC/CTD agreement recorded for the service requested
006 Price consultation is not allowed for this service as it requires the approval of the TTR in accordance with the reimbursement conditions.
007 Consultation of the tariff is not authorized for this service because the tariff depends on other services invoiced at the same time.
008 Prerequisite not met
009 The nomenclature code cannot be attested on this date
010 Service cannot be combined with another service