Nex Riziv Zorgpraktijk

The problem

Managing RIZIV compliance in a Belgian healthcare practice is an administrative burden prone to costly errors. Practitioners struggle to calculate the financial impact of convention status, maintain legal patient communications, and follow shifting eAttest requirements.

What it does

• Generates discipline-specific financial briefings for convention versus de-convention decisions.
• Produces legally compliant patient communications, including de-convention letters and mandatory tariff posters.
• Builds administrative intake structures for new patients covering eHealth consent and insurance status.
• Provides workflow checklists for eAttest, eFact, and third-party payer (derdebetalersregeling) rules.
• Calculates the financial impact of the 2026 minus 25 percent reimbursement rule for logopedists.

Frameworks & tools

Supports Belgian healthcare standards including RIZIV/INAMI regulations, ProGezondheid workflows, and eAttest/eFact protocols for dentists, physiotherapists, and speech therapists.

Why this beats prompting it yourself

This skill integrates specific 2026 indexation rates, legislative deadlines, and discipline-specific mandates that generic models often hallucinate. It enforces the strict legal distinction between administrative compliance and medical advice, ensuring documentation remains professional and safe.

Use cases

• Drafting the mandatory tariff poster (tariefaffiche) required by the law of October 2021.
• Evaluating the ROI of de-conventioning based on current patient mix and social status loss.
• Automating the administrative checklist for a dental practice's mandatory eAttest workflow.
• Preparing patient notification letters regarding supplement changes and reimbursement impacts.

Known limitations

Strictly limited to administrative and organizational tasks. Does not provide medical advice, diagnosis, or clinical nomenclature selection.