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Ambulatory service mapping

Explanation​

Ambulatory management, also known as SPITEX in Switzerland, use 3 official services that are covered by insurances, known as A B and C for

  • Basic care (A)
  • Examination and treatment (B)
  • Clarification, consultation, coordination (C)

Each Swiss Canton has its own pricing and calculation method. Actually E-Care manages 4 different calculation types.

As we have to invoice the services either to the Beneficiary, or the Insurance or the Public Authority, we have to configure different HC Service for the different contexts and of course for our 3 official services main services.

The service mapping enables mapping between services received via the interface (Carecoach etc...) and E-Care services.

Setup Services​

Fields description​

Below, find the explanation for each field:

Ambulatory Service Mapping
> Ambulatory Service Code : enter the value of the imported service
> Service Level : Select the A,B,C official service related
> Service Code : Select your configured HC Service related to charge the beneficiary
> Insurance Service Code : Select your configured HC Service related to charge the insurance
> Authority Service Code : Select your configured HC Service related to charge the authority
> Auth.Benef Part Serv.Code : Select your configured HC Service related to the deduction beneficiary participation
> Group by : Define if this service should be grouped by day, month or year

Under Construction​

tip

to be defined

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