Health insurer billing · Nursing homes · Belgium
eFact & Insurers.
Bill directly.
Electronic third-party-payer billing of INAMI flat rates to Belgian health insurers, your residents' insurance verification, and care agreements — automated, reliable and compliant, from Resthome.
Book a demo See the flow step by stepHealth-insurer billing for nursing homes, painless
Rejections, payment delays, re-entry, manual statement tracking: Resthome removes the friction.
Fewer rejections
An uninsured or improperly covered resident at billing time leads to a rejection and a delay. Upfront insurance verification makes your sends reliable.
Cash flow under control
Clear tracking of receipts, statements, accepted, rejected and paid amounts — you know where every send stands.
Zero re-entry
Batches are generated from stays and flat rates, with no double entry or copy-paste between tools.
Belgian compliance
The MR/MRS/CSJ regulatory complexity is handled for you: stay compliant without becoming an expert.
A single flow
Insurance, billing and care agreements in the same workflow, straight from the resident record.
Time saved
The billing team focuses on the cases to handle, not on the sending mechanics.
Three services integrated with the Belgian ecosystem
eFact, MDA insurance verification and eAgreement — a single flow, from Resthome.
eFact (INAMI billing)
Electronic third-party-payer billing of daily flat rates, by insurer, to the health-insurer network.
- Batches generated automatically per health insurer
- Tracking of acknowledgments of receipt
- Processing of statements and rejections
- Management of credit notes
Insurance verification (MDA)
Before every billing run, the resident is checked with their health insurer; the record is updated automatically.
- Individual or batch verification
- BIM status updated automatically
- Identification of the health insurer and insurer codes
- Notification when insurance is reinstated
eAgreement (care agreements)
Agreement requests sent to health insurers: admissions, extensions, Katz category changes, stay closures.
- Admission and extension requests
- Dependency category change
- Tracking of acceptances and refusals
- Handling of disputes
The eFact flow, step by step
From insurance verification to payment by the health insurer.
Verification
Insurance (MDA)
Confirms that each resident is properly covered by their health insurer, with their status and insurer.
Generation
Batches per health insurer
"Insurer share" amounts are automatically grouped by insurer. One batch = one send.
Send
Secure transmission
The batch is sent electronically and securely to the health-insurer network. A receipt confirms reception.
Response
Statement & payment
The health insurer returns a receipt and then a statement: accepted, rejected and actually paid amounts.
Designed for Belgian nursing homes
Nursing homes (MR), nursing and care homes (MRS) and short-stay centers (CSJ): the billing team and management run health-insurer billing without technical expertise, staying compliant with Belgian regulations.
Frequently asked questions — health insurer billing in nursing homes
What is eFact for a nursing home?
eFact is the electronic third-party-payer billing of INAMI daily flat rates to Belgian health insurers. Rather than sending paper invoices, your nursing home transmits its billing batches electronically and securely, and receives back acknowledgments and statements.
How do you bill health insurers in a nursing home (third-party payer)?
The "insurer" share of every resident's flat rates is grouped per insurer and sent electronically to the health insurers. Resthome automates this grouping and the end-to-end tracking, so that your team no longer has to manage it manually.
What is INAMI billing / the 920000 message?
It is the Belgian regulatory format for billing daily flat rates in MR/MRS. Resthome generates it automatically from stays and dependency categories, with no re-entry.
Why do health insurers reject some invoices?
Most often: a resident uninsured or improperly covered at billing time, or incorrect insurance data. That is why upfront insurance verification (MDA) is essential to strongly reduce rejections and payment delays.
What is insurance verification (MDA)?
It is the check that every resident is properly insured with their health insurer before billing, with automatic update of the record (BIM status, health insurer, insurer codes). See our dedicated MDA insurance verification page.
What's the difference between MR, MRS and CSJ for billing?
Nursing home (MR), nursing and care home (MRS) and short-stay center (CSJ) have specific flat-rate and reimbursement rules. Resthome handles these three sectors and applies the billing appropriate to each.
Daily flat rate: insurer share and resident share, how does it work?
The daily flat rate is split between an insurer share (billed via third-party payer) and a resident share. Resthome computes and splits both automatically.
What is eAgreement and when do you use it?
It is the care-agreement request sent to health insurers (admissions, extensions, dependency category changes, stay closures). Resthome prepares it from stay events, in the same flow as billing.
Which networks: MyCareNet and WalCareNet?
MyCareNet is the federal exchange network with health insurers; WalCareNet is its Walloon regional counterpart. Resthome transmits on the right network according to your situation.
How long does payment take, what is a statement?
After sending, the health insurer returns a receipt and then a statement detailing accepted, rejected and actually paid amounts. Resthome centralizes this tracking to give you a clear view of your cash flow.
Is Resthome accredited for health-insurer billing?
Yes. Resthome is accredited by the National Intermutualist College (CIN) on WalCareNet for insurance verification with all health insurers, a guarantee of reliability for your exchanges.
Is Resthome suitable for both small and large nursing homes?
Yes. Whether you manage a few dozen or several hundred residents, billing, insurance verification and care agreements are automated the same way.
Does Resthome replace my current billing software?
Resthome is a complete nursing-home suite: resident record, care, stays and Belgian e-Health billing are integrated. You no longer have to juggle between multiple tools or re-enter data.
Do you need technical expertise to use it?
No. Regulatory and technical complexity is handled by Resthome. Your team works with clear screens; sending and tracking are done in a few clicks.
Connect your nursing home
to the Belgian e-Health ecosystem.
Health-insurer billing, insurance verification and care agreements, accredited and integrated — MR · MRS · CSJ.
Book a demo