Zorgprestatiemodel: verschil tussen versies
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|Consult | |Consult | ||
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=== D: Declaratie=== | |||
{| border="1" cellspacing="1" cellpadding="1" style="width:1600px;" | |||
|- | |||
| style="width: 650px;" |<span>'''Norm titel'''</span> | |||
| style="width: 125px; " |'''Type controle''' | |||
| style="width: 125px; " |'''HT-norm''' | |||
geauditeerd | |||
| style="width: 125px; " |'''HT-blokkade''' | |||
| style="width: 50px;" |<span>'''Financiering'''</span> | |||
| style="width: 125px;" |<span>'''Prioritering<br/>V&C lijst'''</span> | |||
|'''ID''' code | |||
| style="width: 160px;" |<span>'''Status'''</span> | |||
| style="width: 100px; " |<span>'''Actueel van - tot'''</span> | |||
| style="width: 50px;" |<span>'''Niveau<br/>(controle kijkt per)'''</span> | |||
| style="width: 255px;" |<span>'''Oude (DBC) variant'''</span> | |||
|- | |||
| style="width: 500px;" |[[Adresgegevens niet volledig ingevuld (N2515)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Nvt | |||
|Nee | |||
| style="width: 75px;" |ZVW; FZ; WMO; JW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.3 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" |R60048 | |||
|- | |||
| style="width: 500px;" |[[Verzekeringsnummer en-of polisnummer ontbreekt (N2501)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Ja | |||
|Ja | |||
| style="width: 75px;" |ZVW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.3 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" |[[Identiteit niet vastgesteld (N2505)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Ja | |||
|Ja | |||
| style="width: 75px;" |ZVW; WMO; JW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.3 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" |R60041 | |||
|- | |||
| style="width: 500px;" |[[Identiteit vergewist zonder documentnummer (N2503)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Ja | |||
|Ja | |||
| style="width: 75px;" |ZVW; WMO; JW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.3 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" |R60042 | |||
|- | |||
| style="width: 500px;" |[[BSN niet geverifieerd of ontbreekt (N2500)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Ja | |||
|Ja | |||
| style="width: 75px;" |ZVW; WMO; JW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.3 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" |R60035; R60036 | |||
|- | |||
| style="width: 500px;" |[[COV-controle niet (tijdig) uitgevoerd (N2508)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Nvt | |||
|Nee | |||
| style="width: 75px;" |ZVW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.4 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
| style="width: 500px;" |[[Client met afwijkende verzekeringsgegevens (N2509)]] | |||
| style="width: 125px;" |Data-analyse | |||
|Ja | |||
|Nee, niet mogelijk | |||
| style="width: 75px;" |ZVW; WLZ | |||
| style="width: 75px;" |Laag | |||
|D.4 | |||
| style="width: 75px;" |Gereed | |||
| style="width: 100px;" |2021 - | |||
| style="width: 250px;" |Cliënt | |||
| style="width: 305px;" | | |||
|- | |||
|[[Deadline facturatie nadert en er zijn geen validatiefouten (N2860)]] | |||
|Data-analyse | |||
|Nee | |||
|Nee | |||
|ZVW | |||
|Signaal | |||
| | |||
|Gereed | |||
|2023- | |||
|Zorgtraject periode | |||
|R60141; R60142; R62008; R62140; R60162 | |||
|- | |||
|[[Deadline facturatie nadert, maar er staan nog validatiefouten open (N2861)]] | |||
|Data-analyse | |||
|Nee | |||
|Nee | |||
|ZVW | |||
|Signaal | |||
| | |||
|Gereed | |||
|2023- | |||
|Zorgtraject periode | |||
|R60141; R60142; R62008; R62140; R60162 | |||
|- | |- | ||
|} | |} | ||