Hospital invoice
Predictions are activated when the corresponding tables are present
Header fields
Field | Description | Data type |
---|---|---|
Insured name | Full name of the person insured | string |
Insured Birthdate | Date of birth of the person insured | date |
Insured NISZ | National insurance number of the person insured | string |
Addressee House number | House number of the person insured | string |
Addressee Zip code | Postal code of the person insured | integer |
Invoice Type | Type of the invoice: | tag |
Credit Note | Credit note: | tag |
Invoice id | Unique identification of the invoice | string |
Invoice date | The date when the invoice was issued | date |
Hospital id | Unique identification of the hospital invoice | string |
Date in | The date when the treatment period of the person insured starts | date |
Date out | The date when the treatment period of the person insured ends | date |
Gross amount | Gross amount of the hospital invoice | float |
Tax amount | Tax amount of the hospital invoice | float |
Line items
Frais du Séjour / Verblijfskosten
Table name: Frais du Séjour / Verblijfskosten
Column | Description | Data type |
---|---|---|
Bedroom type | Description of the bedroom the patient occupied | string |
Date from | Date when the patient started occupying the room | date |
Date to | Date when the patient left the room | date |
Number of units | Quantity of service units given | integer |
nomenclature code | Unique code of the service given | alphanumeric |
MUT amount | Amount refunded by the mutuality | float |
PA amount | Amount to be paid by the patient | float |
SUP amount | Â | float |
Montants forfaitaires / Forfaitaire kosten
Table name: Montants forfaitaires / Forfaitaire kosten
Column | Description | Data type |
---|---|---|
description | Description of the service given | string |
MUT amount | Amount refunded by the mutuality | float |
PA amount | Amount to be paid by the patient | float |
SUP amount | Â | float |
Pharmacie / Apotheek
Table name: Pharmacie / Apotheek
Column | Description | Data type |
---|---|---|
description | Description of the service given | string |
CNK code | National Code Number assigned to all the pharmaceutical products used for the treatment | alphanumeric |
Number of units | Quantity of service units given | integer |
nomenclature code | Unique code of the service given | alphanumeric |
Notification Code | Â | alphanumeric |
MUT amount | Amount refunded by the mutuality | float |
PA amount | Amount to be paid by the patient | float |
SUP amount | Â | float |
Honoraires / Honoraria
Table name: Honoraires / Honoraria
Column | Description | Data type |
---|---|---|
description | Description of the service given | string |
Date from | Date when the patient was treated | date |
nomenclature code | Unique code of the service given | alphanumeric |
Number of units | Quantity of service units given | integer |
MUT amount | Amount refunded by the mutuality | float |
PA amount | Amount to be paid by the patient | float |
SUP amount | Â | float |
Autres fournitures / Andere leveringen
Table name: Autres fournitures / Andere leveringen
Column | Description | Data type |
---|---|---|
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 |
PA amount | Amount to be paid by the patient | float |
Transport / Ziekenvervoer
Table name: Transport / Ziekenvervoer
Column | description | Data type |
---|---|---|
Date from | Date when the patient was offered the transportation service | date |
nomenclature code | Unique code of the service given | alphanumeric |
Number of units | Description of the service given | string |
description | Quantity of service units given | integer |
MUT amount | Amount refunded by the mutuality | float |
PA amount | Amount to be paid by the patient | float |
Frais Divers / Diverse kosten
Table name: Frais Divers / Diverse kosten
Column | Description | Data type |
---|---|---|
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 |
PA amount | Amount to be paid by the patient | float |
Payment Details
Table name: Payment Details
Column | Description | Data type |
---|---|---|
payment_amount | Amount to be paid | float |
payment_iban | IBAN account to send the payment to | alphanumeric |
payment_reference | Reference linked to the payment | string |
Totals
Table name: Totals
Column | Description | Data type |
---|---|---|
Section | =rubriek | Â |
MUT amount | Total amount refunded by the mutuality | float |
PA amount | Total amount to be paid by the patient | float |
SUP amount | Â | float |
Example computed fields
Field | Formula |
---|---|
SUM CHECK SUP |
|
SUM CHECK MUT |
|
SUM CHECK PA |
|