Four services become compulsory
INAMI states that the use of eAgreement, eFact, eAttest and Member Data is compulsory for physiotherapists from 1 January 2027. How they work is described on the eHealth and MyCareNet page.
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2027 regulation
What the rule requires of physiotherapists on 1 January 2027.
We summarise the official pages of INAMI (RIZIV, the Belgian national health and disability insurance institute) and the CIN (National Intermutualistic College), with the links. In case of doubt, those pages are authoritative, not this site.
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Two paths depending on payment
Patient under the third-party payer system (tiers payant): eFact. Patient who pays up front: eAttest, with the certificate sent to their health insurance fund. According to INAMI, before 2027 eAttest remains optional, and from 2027 it is compulsory for patients without the third-party payer system.
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Exemptions
INAMI cites: physiotherapists aged 67 or over on 1 January 2027, those who bill through the hospital's central system, and occasional cases (billing outside the practice technically impossible, force majeure). No other individual derogation.
04
Software recognised by the CIN
Access to these services requires recognised software. The CIN publishes, service by service, the list of recognised software for physiotherapists, with its reference date; Téo K is not on it yet.
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The supporting document
For every electronic care certificate, the patient receives a supporting document stating what they pay and what is reimbursed to them. Téo K produces it from the session.
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If the network is unavailable
A circular from the insurers provides a paper fallback in case of technical unavailability, with the agreement number received through eAgreement. Téo K displays this number and produces the list of sessions to be carried over onto paper.
What we do not know, and do not guess. The official pages read mention neither a tolerance period nor a penalty. We do not invent any. If INAMI or the CIN publishes a clarification, it will appear here with its source.
Official sources.
Pages consulted on 12 November 2026.
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