Professionals. can sign a single third-party payment contract with all of the complementary organizations.
Possibility open to all patients since 1er January 2017, the third-party payment will become an effective right for all French people on November 30, 2017, according to the schedule decided by the Ministry of Health.
But this advance payment system remains criticized by all the unions of representative liberal doctors (1). All fear that the terms of use are too complex. In an attempt to convince them one last time, the complementary health products made new announcements on Monday.
In a press release, the Association of Complementary Health for Third Party Payers (2) announces the opening of its portal of services to city health professionals: www.tpcomplementaire.fr This website offers the online signature of a third party payment contract which applies to all complementary health insurance and third party payment operators who are members of this association. Where previously, each professional had to contract with multiple organizations …
An expected measure
This simplification measure was eagerly awaited by health professionals. The service offering also includes a harmonized third-party payment certificate for policyholders, online services for verifying patients’ rights in real time and guaranteeing payment on the additional portion, as well as automated payment monitoring.
90% of policyholders will be able to benefit from this service, “the majority of complementary health insurance and third party payment operators having joined the Association,” she writes.
In fact, she recalls that the “Complementary third party payant” portal offers a contract adapted to different health professions: doctors, medical auxiliaries (nurses, masseurs-physiotherapists, speech therapists, orthoptists, chiropodists, pedicures, etc.), midwives. women and health centers (excluding dental).
Pharmacists and biologists are not affected by this device, since the tools in place already allow a wide practice of third-party payment. “Work with these professions is planned for 2017 to develop, in a concerted way, the existing tools”, however, underlines the association.
A useful clarification since a study recently carried out by these professionals points to the management of third-party payment in pharmacies “a tedious job that has become even more time-consuming for 10 years”, according to its authors.
Telephone assistance
Lastly, a telephone number (0 806 800 206, non-premium rate call) enables healthcare professionals to obtain information on additional third-party payment. This contact point also provides assistance during registration on the portal.
“This service portal meets the commitments made by the Association in the joint report with the Health Insurance on the generalization of third-party payment submitted to the Minister of Health on February 18, 2016. This service offer is the result of the work carried out by the Association with third-party payment operators, the GIE SESAM-VITALE and software publishers for healthcare professionals, ”she concludes.
(1) The CSMF, the FMF, MG France, the SML and LE BLOC.
(1) It brings together all complementary health insurance (provident institutions, mutual societies and insurance companies) and their partners (third party payment operators, delegatees), as well as their main professional federations (CTIP, FFA and Mutualité Française).
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