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eFact · billing under the third-party payer system (tiers payant)
eFact: third-party payer, no file to prepare by hand.
You treat, the health insurance fund pays. You send the billing, read the response, follow the payment.
In plain terms
eFact.
eFact transmits the services you provide under the third-party payer system (tiers payant) to the insurers, which then pay the physiotherapist. According to INAMI, the health insurance fund pays within two weeks. The third-party payer system remains optional for the physiotherapist: you choose, patient by patient.
eFactStatus as at 12/11/2026
- 01Integration statusIntegrated in Téo K and validated in simulation. Tests on the CIN acceptance platform have yet to be run.CIN approval: not yet obtained
What you gain.
01
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A dry-run check before sending flags what is missing: agreement, prescriber, billing profile.
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Responses (acknowledgement of receipt, statement, rejections) are read and displayed, with a payment reference to match against your account.
In Téo K.
01
Physiotherapist's billing profile: INAMI (RIZIV, the Belgian national health and disability insurance institute), BCE (Crossroads Bank for Enterprises), IBAN, BIC, contact. The screen says “Ready for eFact” or lists what is missing.
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Session “ready to bill”, then sending to the insurer, never the same submission twice by mistake.
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Reading of responses, submission status, amount accepted, “paid” marking on receipt of the transfer.
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Every exchange is logged and kept for ten years.
What the rule says.
INAMI lists eFact among the services whose use becomes compulsory for physiotherapists from 1 January 2027, for patients under the third-party payer system. Electronic billing relies on the agreement reference obtained through eAgreement.
Official sources : INAMI: MyCareNet for physiotherapists
Integration status.
Integrated and validated in simulation. Tests on the CIN acceptance platform have yet to be run. One point remains to be obtained from the CIN before a real test submission can be sent: the registration of the pilot physiotherapist's details with the insurers.
Integrated CIN approval: not yet obtained
Waiting list
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