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Member Data · patient insurance status
Member Data: is the patient insured?.
Before treating, know whether the patient is up to date with their health insurance fund and whether the third-party payer system (tiers payant) is possible. No phone call, no health insurance sticker.
In plain terms
Member Data.
Member Data (MDA) queries the patient's health insurance fund through the MyCareNet network. It replaces the former insurance status check. The response relates to the patient's situation on a given date.
Member DataStatus as at 12/11/2026
- 01Integration statusIntegrated in Téo K. Real queries were run on the CIN acceptance platform (a test environment, not production).CIN approval: not yet obtained
What you gain.
01
02
Know whether the third-party payer system is allowed, which decides the path: eAttest or eFact.
03
No more re-entering data the health insurance fund already holds.
In Téo K.
01
The patient is identified by their NISS (national social security number) and health insurance fund, or, failing a NISS, by their fund registration number. Numbers are checked before anything is sent.
02
Two queries: “one session” and “billing of a session under the third-party payer system”.
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The response appears in the patient file: insurable or not, health insurance fund, third-party payer allowed.
04
Every exchange is logged and kept for ten years, with no NISS in the application logs.
05
The Member Data decision steers the session: “Issue the care certificate via eAttest” or “Bill under the third-party payer system (eFact)”.
What the rule says.
INAMI (RIZIV, the Belgian national health and disability insurance institute) lists Member Data among the four services whose use becomes compulsory for physiotherapists from 1 January 2027. The MyCareNet web portal also allows a manual query, but not integration with your patient record.
Official sources : INAMI: MyCareNet for physiotherapists
Integration status.
Queries were run on the CIN acceptance platform with test data from the insurers. They also showed discrepancies linked to that test data, which we are documenting with the CIN. Not yet in production, no approval yet.
Integrated CIN approval: not yet obtained
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