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Column

Description

Data type

Date from

Date when the treatment period of the patient starts

date

Date to

Date when the treatment period of the patient ends

date

nomenclature code

Unique code of the service given

alphanumeric

description

Description of the service given

string

Number of units

Quantity of service units given

integer

MUT amount

Amount refunded by the mutuality

float

TK amount

Amount actually paid by the patient (includes both TTK, the regulated price and SUP, the surcharge on top of the regulated price)

float

TTK amount

Amount charged by the caregiver (honorarium) in line with the convention/regulation

float

PA amount

Amount to be paid by the patient (remgeld)

float

SUP amount

Supplement, charge which is made on top of the regulated honorarium/prices (supplement)

float

PA + SUP amount

Total amount of PA and SUP

float

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Column

Description

Data type

MUT amount

Total amount refunded by the mutuality

float

TK amount

Total amount actually paid by the patient

float

TTK amount

Total amount charged by the caregiver (honorarium) in line with the convention/regulation

float

PA amount

Total amount to be paid by the patient

float

SUP amount

Total supplement, charge made on top of regulated honorarium/prices (supplement)

float

PA + SUP Amount

Total amount of PA and SUP

float

Example

Consider the example below

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Column mapping to field names

  • Total = MUT

  • Montant payé par l’affilié = TK

  • Honoraire = TTK

  • Quote-part personelle = PA

  • Supplément = SUP

In this case, the patient paid a visit to a certain care provider

  • The all-in price was 50€ (TK, “montant payé par l’affilié”), this consists of

    • The price in line with convention/regulation is 29.04€ (TTK, “Honoraire”), which consists of

      • The part paid for by the mutuality 17.04€ (MUT, “Total”)

      • The personal share of 12€ (PA, “Quote-part personnelle”)

    • The supplement of 20.96€ (SUP, “Supplément”)

  • In math terms

    • TK = TTK + SUP

    • TTK = MUT + PA