eAttest for physiotherapists the electronic care certificate

How it works

1. The patient pays for the session at the practice.
2. The same day, your software sends the eAttest to the patient's fund, one line per nomenclature code performed.
3. The fund answers at once: a receipt number, or a reasoned refusal.
4. You give the patient a proof of payment, not a certificate: it carries that number, the amount paid and the legal fee of each service.
5. The fund reimburses the patient directly; you are no longer involved.

The rules

• The services must be dated on the day of sending, except for a few codes the NIC allows in the past.
• For a physiotherapist, every eAttest carries the reference of the decision obtained through eAgreement: the notification or the advisory physician's agreement must therefore be in order first.
• A service is attested either by eAttest or on paper, never both.
• A sent eAttest cannot be edited: it is cancelled as a whole, once, with one of the seven reasons provided, by the provider who sent it. A corrected eAttest may follow the same day; from the next day, the correction is a paper certificate.
• Reading the patient's eID card is not mandatory for physiotherapists today, according to the NIC.

eAttest or eFact?

The two services cover two payment moments. If the patient pays, it is eAttest. If you bill the fund under third-party payment, it is eFact. The Member Data check shows, patient by patient, whether third-party payment applies. A practice with both kinds of patients uses both services.

In Praxio

eAttest is built in Praxio: sending from the session, the receipt number and the reimbursed amount kept with the certificate, and cancellation. Until the NIC accredits Praxio, the answers come from a simulation labelled as such, and the paper certificate stays the official fallback. See the eHealth roadmap.