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n]FcĶGA;gqt 6l7+gqt=EAn]O6c{k.ȡ2m˨ُCz!ʁ.f= W{֟aS{!2m˨؏CzY ˃亍1BЦ\ 亍0ټB;ٳy3 o'lGbʿt ;ײy3 o'Ս0Y<Bl~mLcb= 'z?6(R~3`o'՞lGN~|OЦp Cޕt l>kS:}XáF~XL7F\ٚ6;//sgV4fjKs)UE>Ʃk+&TL|=sW*}'ʾmnط{窹\UsUR*SqѦo^+\ S:ocI~ċ?RiEO$HBU$Y߉scfQsNr|T5IXdQ8FFL򠣧CIE !bdD. ԮgE6k)aPn"b%56L]/B$vn)|xw: X d]g|aEҿ˵=*EO sUUDN^"75xڬ | E"g* FYZ;fQ!wtG%v"nR]X jp"*S%U؎ /1^O,Ɯz$WղZ[ze&lfؙʫ>ԕ6 =EO dr gA@K*+\8Εq,*ٖ ;UB9f lkm*=g|MzGqq9rKćPzhq5R("W\HV&Jv]';.:P]NKjʌC/k6,j@N.eݮ^$I>TQh.+] Kg̕W$LI ^oobr}OBl089=þ[Ŧ⺴uiqE=ٝ_|98Evq7-dQ8FFL6`4Ô%7^$3  @@   AandachtsgebiedStatusType Beschrijving ToelichtingBijzonderhedenXMLDTD beschikbaar Kenmerken Documenten Eindpositie VerplichtingOrganisatiecodeConstraints/condities Standaardcode Versiedatum Recordcode Recordnaam Objectcode ObjectnaamNaam gegevenselementLengteBeschrijving functieOrganisatienaamNaam codelijstCode codelijstExterne-integratiestandaard!Berichtstructuur en specificaties Unieke identificatieCodering bovengeschikt VolgnummerVersie ExportdatumNaam codering bovengeschiktBeschrijving codering algemeen&Beschrijving codering berichtspecifiekPatroonSleutelHouder/ functioneel beheerTechnisch beheerVoorbeeld vulling#Identificatie EI-standaard/-berichtStandaardnaam/-berichtCode EI-bericht Code gegevenToelichting codering algemeenaDit Excelbestand is vooral bedoeld voor elektronisch inlezen en minder geschikt om af te drukken.ALGEMEEN/OVERIGE5AANLEVERSPECIFICATIES SCHADELASTINFORMATIE QX3012.1 DEFINITIEFSCHADEGEGEVENSDe generieke Q-standaard dient als gestandaardiseerde minimale gegevensset inclusief beschrijvingen ten behoeve van de Q-standaarden.bDe generieke Q-standaard ondersteunt de ontwikkeling van de: QA, QD, QE, QF, QG, QH, QM, QP en QZ.De generieke Q-standaard is een deelstandaard, die geen vaste recordlengte heeft. De lengte van vooral het prestatierecord kan per individuele Q-standaard verschillen.De generieke Q-standaard wordt ter informatie gepubliceerd en wordt als zodanig niet door de doelgroep (zorgverzekeraars, VECOZO, Vektis) gemplementeerd.ZORGVERZEKERAARS NEDERLAND VEKTIS CVVOORLOOPRECORD01KENMERK RECORDNMTCOD001VEK4TECHTECHNISCHE GEGEVENSELEMENTENDIdentificatie van het soort record in een externe-integratiebericht.!SITUATIE AFHANKELIJKE AANBEVELING Voorlooprecord is recordtype 01."CS: '01' vullen. Zie INV document.CODE EXTERNE-INTEGRATIEBERICHTNNNCOD002VEKTBERIBERICHTINFORMATIE ALGEMEENCCode ter identificatie van een (soort) (externe-integratie)bericht.AANBEVELING VEKTISVerzoeken om een code EI-bericht indienen bij helpdesk-EI@vektis.nl. Vektis kent een Code EI-bericht toe en neemt die vervolgens op in de codelijst.MVullen met de code, die voor het desbetreffende EI-bericht van toepassing is.IDENTIFICATIE EI/EDI BERICHT COD002-VEKTCS: 'nnn' vullen.VERSIENUMMER BERICHTSTANDAARDNUM001VEK1_Volgnummer van de formele uitgifte van een versie van een (externe-integratie)berichtstandaard.Wijzigingen die gevolgen hebben voor de structuur (recordlay-out) van een EI-bericht leiden tot een verandering van de versie van een EI-standaard.?Nummer wordt in volgorde van uitgifte van de standaard bepaald.?Vullen met het versienummer van de desbetreffende EI-standaard.CS: 'nn' vullen. SUBVERSIENUMMER BERICHTSTANDAARDCNUM309Volgnummer binnen het versienummer van een (externe-integratie) berichtstandaard. Volgnummer van de formele uitgifte van een subversie van een (Externe Integratie) berichtstandaard.Wijzigingen die gevolgen hebben voor de inhoud van een EI-bericht, maar de structuur van het EI-bericht ongemoeid laten, leiden tot een verandering van de subversie van een EI-standaard.UHet nummer wordt in volgorde van uitgifte van de subversie van een standaard bepaald.BVullen met het subversienummer van de desbetreffende EI-standaard.CD: indien de subversie een waarde 1 of hoger heeft, dan verplicht vullen, anders waarde '00' vullen (betekenis: er is geen subversie bij deze versie). SOORT BERICHTANCOD856(Aanduiding van het doel van het bestand.Met deze aanduiding kan aangegeven worden of het bestand daadwerkelijk verwerkt moet worden of dat het alleen voor testdoeleinden gebruikt mag worden. BERICHTSOORT COD856-VEKTUZOVI-NUMMER INDIENERLCOD448ZVZAZORGVERZEKERAARmIdentificatie van de ZVW-verzekeraar of volmacht die het bestand indient waarop de schades betrekking hebben.COD463UZOVI-REFERENTIETABEL VEKTISURaadpleeg voor meer informatie het UZOVI-referentietabel van Vektis (Gegevensbeheer).CS: Vullen met het UZOVI-nummer van de risicodrager, volmacht of centrale verwerkingseenheid. Hier kan ook een AWBZ-zorgkantoor of AWBZ-uitvoerder ingevuld worden. Zie INV document.DAGTEKENING AANMAAKEEJJMMDDDAT286NEN1De datum van aanmaak van de betreffende gegevens.DAT039DATUM MET EEUW VOOROP!NEDERLANDS NORMALISATIE INSTITUUTCS: Altijd volledig vullen met een bestaande, werkelijke datum, die voldoet aan de periodeafspraak gebruik standaard en niet in de toekomst ligt. CS: 0107 DAGTEKENING AANMAAK is >= 0109 EINDDATUM VERWERKINGSPERIODE ZORGVERZEKERAAR. Zie INV document.-BEGINDATUM VERWERKINGSPERIODE ZORGVERZEKERAARDAT302RBegindatum van de periode waarin de zorgverzekeraar de declaraties verwerkt heeft.JEen verwerkingsperiode is opgebouwd uit n of meer aaneensluitende dagen.CS: Altijd volledig vullen met een bestaande, werkelijke datum, die voldoet aan de periodeafspraak gebruik standaard. Zie INV document.,EINDDATUM VERWERKINGSPERIODE ZORGVERZEKERAARDAT303QEinddatum van de periode waarin de zorgverzekeraar de declaraties verwerkt heeft.CS: Altijd volledig vullen met bestaande, werkelijke datum, die voldoet aan de periodeafspraak gebruik standaard. CS: 0108 EINDDATUM VERWERKINGSPERIODE ZORGVERZEKERAAR is >= 0109 BEGINDATUM VERWERKINGSPERIODE ZORGVERZEKERAAR. Zie INV document."REFERENTIENUMMER DIT SCHADEBESTANDNUM393LUniek nummer waaronder een zender een aangeleverd schadebestand registreert.Referentienummer dit schadebestand is uniek voor elk bestand van dezelfde zender (UZOVI-nummer indiener) en verwerkingssysteem (bron-id declaratieverwerkingssysteem) onbeperkt in de tijd. Het numerieke deel moet oplopend zijn per zender en bron-id.Zie INV document.$BRON-ID DECLARATIEVERWERKINGSSYSTEEMCOD469Uniek nummer dat de bron van declaratieverwerkingssysteem van de zorgverzekeraar identificeert. Meerdere zorgverzekeraars kunnen dezelfde Bron-ID hebben.Unieke nummers die de bron van declaratieverwerkingssysteem van de zorgverzekeraar identificeren. Meerdere zorgverzekeraars kunnen dezelfde Bron-ID hebben.yIn de codelijst zijn de kolommen Code = Bron-id, Naam = UZOVI-nummer, Omschrijving = Zorgverzekeraar, Toelichting 1 = Rol COD469-VEKTLCS: Alleen vullen met waarden die voorkomen op codelijst. Zie INV document.RESERVESTEC007230Loze posities in een bericht ten behoeve van het op gelijke lengte brengen van records dan wel ruimte gereserveerd voor toekomstig gebruik.GEEN AANBEVELING VEKTIS!CS: Verplicht vullen met spaties.PRESTATIERECORD04!Prestatierecord is recordtype 04."CS: '04' vullen. Zie INV document.IDENTIFICATIE DETAILRECORDNUM040%Unieke codering van een detailrecord.De identificatie wordt ingevuld door de zender van het 'heenbericht'. In een retourrecord wordt geen nieuw nummer gebruikt, doch hetzelfde nummer als in het 'heenrecord' ingevuld.Detailrecords in 'heenbericht' hebben een volgnummer beginnend bij 1 en oplopend met 1. Commentaarrecord heeft hetzelfde nummer als dat van het bijbehorende detailrecord (niet relevant Q'stnd). Detailrecords in retourbericht 'erven' volgnr. heenbericht.$BURGERSERVICENUMMER (BSN) VERZEKERDENUM313GBAVERZVERZEKERDE/PATIENT/CLIENTEen door de overheid toegekend identificerend nummer in het kader van het vereenvoudigen van het contact tussen overheid en burgers en het verminderen van de administratieve lasten.lVoor meer informatie over het BSN kunt u terecht bij het Informatiepunt BSN in de zorg (www.infobsnzorg.nl).NUM285CODERING BURGERSERVICENUMMER!GEMEENTELIJKE BASIS ADMINISTRATIECD: Indien BSN bekend is bij zorgverzekeraar, dan 0403 BURGERSERVICENUMMER (BSN) VERZEKERDE vullen. CD: Indien verzekerde geen BSN heeft, dan dummywaarde van negens (9x9) vullen. CS: Er moet worden voldaan aan de 11-proef, tenzij (9x9) is gevuld. Zie INVUZOVI-NUMMER RISICODRAGERCOD264Identificatie van een zorgverzekeraar die toestemming heeft van De Nederlandse Bank om op te t< reden als risicodrager in de uitvoering van de zorgverzekeringswet.UCS: Vullen met het UZOVI-nummer van de zorgverzekeraar (risicodrager) van verzekerde.6VERZEKERDENNUMMER (INSCHRIJVINGSNUMMER, RELATIENUMMER)NUM003ZNETGNummer waaronder een verzekerde bij de zorgverzekeraar is ingeschreven.xIdentificatienummer per verzekerde (per verzekeraar toegekend). Dit nummer behoort uniek te zijn bij de zorgverzekeraar.ZORGNETxCS: Plaats alle tekens inclusief de nullen linksaangesloten in het veld. Rechts uitvullen met spaties. Zie INV document.UZOVI-NUMMER VOLMACHTCOD265PRES PRESTATIEyIdentificatie van een verzekeraar welke namens de risicodrager betrokken is bij de uitvoering van de zorgverzekeringswet.CD: Indien sprake is van een volmacht van de verzekerde, dan 0406 UZOVI-NUMMER VOLMACHT vullen. CD: In het geval er niet sprake is van een volmacht van de verzekerde, dan 0406 UZOVI-NUMMER VOLMACHT met nullen vullen.IDENTIFICATIECODE INDIENERCOD976RVerwijzing naar diegene, die de declaratie heeft ingediend bij de zorgverzekeraar.De verwijzing betreft 04nn AGB-CODE INDIENER. Een gezondheidscentrum, samenwerkingsverband of rechtspersoon wordt als een instelling gevuld. COD976-VEKTAGB-CODE INDIENERNNNNNNNNCOD977RUnieke identificatiecode van de indiener van de declaratie bij de zorgverzekeraar.COD009CODERING ZORGVERLENERDe AGB-code bestaat uit ZORGVERLENERSSOORT (COD008) en ZORGVERLENERSNUMMER (NUM005). ZORGVERLENERSSOORT op positie 1-2, ZORGVERLENERSNUMMER op positie 3-8. Het zorgverlenersnummer is uniek binnen de zorgverlenerssoort./Voor meer informatie zie https://agb.vektis.nl.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 0408 AGB-CODE INDIENER vullen op basis van administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 0408 AGB-CODE INDIENER ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. Zie INV document.AANDUIDING PRESTATIECODELIJSTCOD367~Code die aangeeft welke prestatiecodelijst gebruikt is, met aanduiding van de oorsprong van de codes en/of de beheerder ervan.Verzameling van verwijzingen naar prestatiecodelijsten. De meeste zijn raadpleegbaar of te downloaden via https://tog.vektis.nl/WebInfo.aspx?ID=Prestatiecodelijsten.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn AANDUIDING PRESTATIECODELIJST (01) vullen o.b.v. administratie zorgverzekeraar.TOEGEPASTE PRESTATIECODELIJST COD367-VEKTCD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn AANDUIDING PRESTATIECODELIJST (01) ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. PRESTATIECODECOD388VEK3<Code die de prestatie (zorg/ product/ middel) identificeert.lIn de AANDUIDING PRESTATIECODELIJST wordt aangegeven welke codelijst in dit gegevenselement toegepast wordt.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn PRESTATIECODE vullen o.b.v. administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn PRESTATIECODE (01) ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen.BEGINDATUM PRESTATIEDAT001Datum waarop de prestatie feitelijk is of wordt uitgevoerd. Als de uitgevoerde prestatie betrekking heeft op meerdere dagen dan is het de begindatum.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn BEGINDATUM PRESTATIE ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn BEGINDATUM PRESTATIE ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. Zie INV document.EINDDATUM PRESTATIEDAT003\Datum waarop de prestatie is beindigd, als de prestatie betrekking heeft op meerdere dagen.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn EINDDATUM PRESTATIE vullen o.b.v. administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn EINDDATUM PRESTATIE ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. Zie INV document.AANTAL UITGEVOERDE PRESTATIESANT0548Hoeveelheid verrichte prestaties in de prestatieperiode.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn AANTAL UITGEVOERDE PRESTATIES vullen o.b.v. administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn AANTAL UITGEVOERDE PRESTATIES ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen.(ZORGVERLENERSCODE BEHANDELAAR/UITVOERDERCOD089LDe identificatiecode van de zorgverlener (natuurlijk persoon of instelling).CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn ZORGVERLENERSCODE BEHANDELAAR/UITVOERDER vullen op basis van administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn ZORGVERLENERSCODE BEHANDELAAR/UITVOERDER ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. Zie INV document"SPECIALISME BEHANDELAAR/UITVOERDERNNNNCOD952Nadere verbijzondering van de zorgverlener per soort/beroepsgroep. Nadere identificatie van de categorie waartoe een behandelende of uitvoerende zorgverlener behoort.TBestaat uit ZORGVERLENERSSOORT (COD008) en ZORGVERLENER SPECIFICATIENUMMER (COD007).COD016"CODERING ZORGVERLENERSSPECIFICATIEDe soorten (beroepsgroepen) zijn opgenomen, ook wanneer er geen nadere verbijzondering bestaat. Zie voor de soorten ook COD008.Positie 1 en 2 zorgverlenerssoort. Positie 3 en 4 zorgverleners specificatienummer. Voor meer informatie zie https://agb.vektis.nl/.CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn SPECIALISME BEHANDELAAR/UITVOERDER vullen op basis van administratie zorgverzekeraar. COD016-VEKTCD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn SPECIALISME BEHANDELAAR/ UITVOERDER ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen. Zie INV document.BTW-PERCENTAGE DECLARATIEBEDRAGNUM352%BTW-percentage dat van toepassing is.Het declaratiebedrag is het deel van het berekend bedrag dat de zorgverlener daadwerkelijk in rekening brengt bij de ontvanger van deze declaratieregel.wRelevante BTW-percentage in honderdste procenten. Voorbeelden: '0600' = 6 % '1750' = 17,5 % '1900' = 19 % '2100' = 21 %CD: Indien 04nn SOORT DECLARATIE met waarde '02' is gevuld, dan 04nn BTW-PERCENTAGE DECLARATIEBEDRAG vullen op basis van administratie zorgverzekeraar.CD: Indien 04nn SOORT DECLARATIE met waarde '01' is gevuld, dan 04nn BTW-PERCENTAGE DECLARATIEBEDRAG ongewijzigd vullen, zoals door de declarant is aangeleverd, tenzij door de zorgverzekeraar is aangepast, dan die waarde vullen.DECLARATIEBEDRAG (INCL. BTW)BED211Het declaratiebedrag is het deel van het berekende bedrag dat een zorgaanbieder, een verzekerde of een derde daadwerkelijk in rekening brengt bij een zorgverzekeraar.BED015STANDAARDBEDRAGBedrag in 1/100 van gehanteerde valuta. Als er sprake is van de euro (EUR), dan is als voorbeeld 00010000 = tienduizend eurocent. Dit is 100 Euro.CD: Indien 04nn SOORT DECLARATIE met '02' is gevuld, dan 04nn DECLARATIEBEDRAG (INCL. BTW) vullen o.b.v. administratie zorgverzekeraar. CS: 04nn DECLARATIEBEDRAG (INCL. BTW) kan een waarde '00000000' hebben, niet voor onbekend toepassen.CD: Als 04nn SOORT DECLARATIE met '01' is gevuld, dan 04nn DECLARATIEBEDRAG ongewijzigd vullen, zoals declarant heeft aangeleverd, tenzij zorgverzekeraar heeft aangepast, dan die waarde vullen. Waarde '00000000' mag alleen gebruikt worden voor bedrag isINDICATIE DEBET/CREDIT< (01)COD668HIndicatie of een bedrag/aantal debet (positief) of credit (negatief) is.COD043D/CDebet, credit (tegenboeking).VIndicatie of het bedrag in de vorige rubriek debet (positief) of credit (negatief) is. COD043-VEKTMCS: De defaultwaarde is 'D' (debet). In geval van credit record 'C' invullen.+VERGOED BEDRAG BASISVERZEKERING (INCL. BTW)BED195Het vergoed bedrag basisverzekering is het bedrag dat door de zorgverzekeraar wordt vergoed op basis van de polisvoorwaarden van de basisverzekering.Het wordt bepaald na aftrek van de eigen bijdrage (die verschuldigd is op basis van de basisverzekering en ongeacht of deze is herverzekerd in de aanvullende verzekering), maar voor aftrek van het verplicht eigen risico en het vrijwillig eigen risico.?Zie voor een omschrijving van de bedragvelden het INV document.CS: 04nn VERGOED BEDRAG BASISVERZEKERING (INCl. BTW) altijd vullen. Waarde '00000000' mag alleen gebruikt worden voor bedrag is nul, niet voor bedrag is onbekend.INDICATIE DEBET/CREDIT (02)COD6652VERGOED BEDRAG AANVULLENDE VERZEKERING (INCL. BTW)BED198Het vergoed bedrag aanvullende verzekering is het bedrag dat door de zorgverzekeraar wordt vergoed op basis van de polisvoorwaarden van de aanvullende verzekering.Het vergoed bedrag aanvullende verzekering wordt bepaald na aftrek van de eigen bijdrage (die verschuldigd is op basis van de aanvullende verzekering).CS: 04nn VERGOED BEDRAG AANVULLENDE VERZEKERING (INCL. BTW) altijd vullen. Waarde '00000000' mag alleen gebruikt worden voor bedrag is nul, niet voor bedrag is onbekend.INDICATIE DEBET/CREDIT (03)COD672BEDRAG EIGEN RISICOBED063Het bedrag eigen risico is het bedrag dat door de zorgverzekeraar aan verplicht eigen risico en vrijwillig eigen risico is ingehouden op het vergoed bedrag basisverzekering.Het verplicht eigen risico geldt voor alle verzekerden in Nederland en wordt jaarlijks vastgesteld door het Ministerie van VWS.PCS: 04nn BEDRAG EIGEN RISICO kan een waarde '00000000' hebben. Zie INV document.INDICATIE DEBET/CREDIT (04)COD673$INDICATIE BEDRAG EIGEN RISICO BEKENDCOD615DIndicatie die aangeeft of het bedrag eigen risico bekend is of niet.-CODERING INDICATIE BEDRAG EIGEN RISICO BEKEND COD615-VEKTCD: Indien 04nn BEDRAG EIGEN RISICO niet gevuld is, dan 04nn INDICATIE BEDRAG EIGEN RISICO BEKEND vullen. Anders '0' vullen. Zie INV document.SOORT DECLARATIECOD470lIndicatie van de soort declaratie (medium, wijze) waarop een notaregel door de zorgaanbieder is aangeleverd. COD470-VEKTf01 Digitale declaratie conform Externe Integratie; 02 (digitale) declaratie niet conform EI declaratieCS: Code 01 (= Digitale declaratie conform EI declaratie aangeleverd, waar deze Q voor bedoeld is) of code 02 (= Declaratie niet conform EI declaratie aangeleverd, waar deze Q voor bedoeld is.) vullen.CODE LAND PRESTATIECOD612gIdentificatie van een (historisch/actueel) land of gebiedsdeel waar een prestatie heeft plaatsgevonden.COD032ALPHA-2 LANDCODE (ISO 3166)Van de drie mogelijke coderingen van ISO 3166 (1993) wordt in het algemeen de hier weergegeven 'Alpha-2 countrycode' gebruikt. Landcodes die met een 'X' beginnen, zijn bepaald door NEN 1888. Dit is in overeenstemming met ISO 3166.ISO 3166 kent geen historische landen (bijv. land geboorte). Actueel wordt dan "00" gehanteerd. Zie GBA landentabel voor historie. ISO 3166 (1993) kent de volgende coderingen: - Alpha-2 (bij leesbaar gebruik) - Alpha-3 - Numeric-3 (sleutels met controle) COD032-NENUCD: 04nn CODE LAND PRESTATIE is gereserveerd voor toekomstig gebruik, spaties vullen. VERWERKINGSDATUM ZORGVERZEKERAARDAT304KHet betreft de datum waarop de zorgverzekeraar de prestatie verwerkt heeft.yCS: 04nn VERWERKINGSDATUM ZORGVERZEKERAAR moet binnen de verwerkingsperiode zoals opgenomen in het voorlooprecord liggen.IDENTIFICATIE PRESTATIERECORDNUM398Uniek nummer waaronder een zender (UZOVI) en een verwerkingssysteem n prestatie in een EI-bericht per soort bericht registreert.LEen prestatie is bijvoorbeeld een behandeling of een geleverd (deel)product.NUM3900REFERENTIENUMMER PRESTATIERECORD ZORGVERZEKERAARIdentificatie prestatierecord zorgverzekeraar moet uniek zijn voor iedere bron-id declaratieverwerkingssysteem en UZOVI-nummer indiener, onbeperkt in de tijd. M.a.w: voor iedere aanwezige prestatierecord dient een unieke identificatie toegekend te zijn.CS: Verplicht vullen met een uniek identificerend kenmerk dat door de verzekeraar zelf gekozen mag worden. Zie het INV document./IDENTIFICATIE GERELATEERD DEBET PRESTATIERECORDNUM399}Uniek nummer dat de zorgverzekeraar (ZV) heeft toegekend aan een voorgaande prestatie, die gerelateerd is aan deze prestatie.NUM391HREFERENTIENUMMER VOORGAANDE GERELATEERDE PRESTATIERECORD ZORGVERZEKERAARCD: Indien er sprake is van een creditregel en een bijbehorende debetregel bekend is, dan 04nn IDENTIFICATIE GERELATEERD DEBET PRESTATIERECORD verplicht vullen. CS: Vullen met IDENTIFICATIE PRESTATIERECORD van de te crediteren debetpost. Zie INV document094 SLUITRECORD99Sluitrecord is recordtype 99.CS: '99' vullen.AANTAL PRESTATIERECORDSANT087VEK2)Het aantal voorafgaande prestatierecords.>Het betreft het totaal aantal prestatierecords in het bestand.AANTAL ...RECORDSANT264"Het aantal voorafgaande ...records;Het betreft het totaal aantal ..... records in het bestand.Keuze veld als voorbeeld voor een specifiek recordtype in een Q-standaard. Indien niet van toepassing dan dit veld niet opnemen. Indien het recordtype conditioneel is, dan opnemen: CD: In het geval geen <...>records aanwezig zijn, dan '000000' vullen.TOTAAL AANTAL DETAILRECORDSANT265-Het totaal aantal voorafgaande detailrecords.^Het betreft de totaalsom van het aantal detailrecords, dus exclusief voorloop- en sluitrecord.#TOTAAL DECLARATIEBEDRAG (INCL. BTW)BED208MSom van de door zorgaanbieders, verzekerden of derden gedeclareerde bedragen. Bedrag in centen, inclusief BTW.Eindtotaal van de bedragen in 04nn DECLARATIEBEDRAG (INCL. BTW) rekening houdend met de waarde 04nn DEBET/CREDIT (01) over alle verzekerden die in dit bericht zijn opgenomen. Kan gebruikt worden als controlegegeven.bCD: Verplicht vullen; veld kan nullen bevatten als resultante van debet- en creditbedragen nul is.gIndicatie of het totaal declaratiebedrag in de vorige rubriek debet (positief) of credit (negatief) is.CS: De defaultwaarde is 'D' (nul of positief bedrag). CD: Indien sprake is van een negatief bedrag, dan 9906 INDICATIE DEBET/CREDIT (01) met 'C' vullen.2TOTAAL VERGOED BEDRAG BASISVERZEKERING (INCL. BTW)BED111NSom van de door de zorgverzekeraar vergoede bedragen voor de basisverzekering.Eindtotaal van de bedragen in 04nn VERGOED BEDRAG BASISVERZEKERING (INCL. BTW) rekening houdend met de waarde 04nn DEBET/CREDIT (02) over alle prestaties die in dit bericht zijn opgenomen. Kan gebruikt worden als controlegegeven.vIndicatie of het totaal vergoed bedrag basisverzekering in de vorige rubriek debet (positief) of credit (negatief) is.CS: De defaultwaarde is 'D' (nul of positief bedrag). CD: Indien sprake is van een negatief bedrag, dan 9908 INDICATIE DEBET/CREDIT (02) met 'C' vullen.9TOTAAL VERGOED BEDRAG AANVULLENDE VERZEKERING (INCL. BTW)BED204USom van de door de zorgverzekeraar vergoede bedragen voor de aanvullende verzekering.Eindtotaal van de bedragen in het veld 04nn VERGOED BEDRAG AANVULLENDE VERZEKERING (INCL. BTW) rekening houdend met de waarde 04nn DEBET/CREDIT (03) over alle prestaties die in dit bericht zijn opgenomen. Kan gebruikt worden als controlegegeven.|Indicatie of het totaal vergoed bedrag aanvullende verzekering in de vorige rubriek debet (positief) of credit (negatief) isCS: De defaultwaarde is 'D' (nul of positief bedrag). CD: Indien sprake is van een negatief bedrag, dan 9910 INDICATIE DEBET/CREDIT (03) met 'C' vullen.TOTAAL BEDRAG EIGEN RISICOBED210DSom van de door de zorgverzekeraar ingehouden bedragen eigen risico.Eindtotaal van de bedragen in 04nn BEDRAG EIGEN RISICO rekening houdend met de waarde 04nn DEBET/CREDIT (04<s) over alle verzekerden die in dit bericht zijn opgenomen. Kan gebruikt worden als controlegegeven.jIndicatie of het totaal bedrag eigen risico in de vorige rubriek debet (positief) of credit (negatief) is.CS: De defaultwaarde is 'D' (nul of positief bedrag). CD: Indien sprake is van een negatief bedrag, dan 9912 INDICATIE DEBET/CREDIT (04) met 'C' vullen.231Versie 2.1: * QX301v2.1_BERu1.pdf; uitgave 1, 02-04-2015 * QX301/QX302v2.1_STBu1.pdf; uitgave 1, 02-04-2015 * QX301/QX302v2.1_INVu1.pdf; uitgave 1, 02-04-2015 * QX301v2.1_RBCu1.xlsx; uitgave 1, 02-04-2015 * QX301/QX302v2.1_OAFu1.pdf; uitgave 1, 01-04-201 tpo$\gbV$E  оRۿ])Pkh& g % %BzRZ DL1k *d2))  Rhcc PK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!D theme/theme/theme1.xmlYOo6w toc'vuر-MniPFI|úa0l+t&[HJkf%~||~|8:$BR՚H&aۻ;_YT8 0 i{S"sD)/-IS11V(¥@#Zmu)4Pc{g<>Ebo#c!QRwL h\ppP9]&!fmhH ^6/lS Ɩ_6.,"JFV!zn^3T;Fe@9/[k.$enέNlesB 6sjcs7f WkՆ7`g ȘJj|h(KD- ?dXiJ؇8x$(:7˗s]Zj{rb&^=^=rO=:y IXO#ӯ_>/_>B f'>{O~q|SQ>169B<ø3'#qSg@v螊)fUqwO{ToN8sDbh(vѺJNZqVqmooAؾg{ X$! wݧԱ.|}:VdHGN m2Z3ڱ=j[EBB`V1!aoq!Y෰&9 I )ޒw0Vw4vBу*0e?F8NDe{B= ~Bwߣq. )DK`jc3 llc&lMU)}Ļ'Xx.yw<.峲`{u` cS&Nj1elܒP[}Ǧ4f.،ANȮ{ZH(3ѡD)p3ݕ5 ueφM}j ^cAsE+ZY\˄²DY]OfjmŒKšP (^ʫpJתp x"]$#Gz>'b v*|OzZI[K} mgqRY]c{of+_uv["RmaY U,њ`֋Z7?6 Z2_]Ѷ"bGh&buz*z0~4mm%,WXg1K#ѭN<-q1Trfq_I ZJ9gK >\ t=.Tā҈}2!ZB^CP/ȡos0i >OC$(G*-{zwY,d"4]i!aĆzoPn$;sAP9|s8,+&' |l2>MAۿbŮjǛ{geV# PV ZYڿιZƚ[r3xq~YD) >#&:6ha6Wl4ANYJ'mο߅S3;i8s9x,-45xtB8?ǘ[oO|wfFL{I&:"ox M3=X!:P$@o^TCT7 7!0[8[q7E6Lzx]j*\v*G/vbY"G%^|&A/ %jK)<&,v2H); lc ʢq$ڝ#LT݁1g4ŰA {/i}my >*󠝒7Fycm(Җj,Xrmox86th˂ r`PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!D theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]   +(h./  dMbP?_*+%&L&"Arial,Bold"&8Bestand&"Arial,Regular" &F - &A&C&"Arial,Bold"&8Printdatum&"Arial,Regular" &D&R&"Arial,Bold"&8Blad&"Arial,Regular" &P / &N&\(\?'?(?)HzG?M\\Erwtje\PR-BUSI? dAXXLetter.HP LaserJet 4000 Series PCL 5e2xePKOQ>ܡ( )h(* h4CHcqC2C)ߩSK]ʕ_/ޙJ5,={v 89JQ}ˬw(ۇԒIr/ʕ{qdCKt| =c: eJiOwG t^2x< = S>c!8aw—p,)7m!=Cԅ{}< sz<}c `r$~0 ɟ w^߸)sQڈ7ZF^ ׂ7\8Y..VkS3竫J\#'Iu!NMe0V.VYS_e),z>7z-op5Ep7]c8n lD" _XX?(\?&U} D} DH} E} $ E} $ E} $ E+,     GGGG NOPFGGPOPFGG U)VWFGG IGG FGG D X/ D* X0 D X1 D+X D ]2 D~ Y@ D Y3 D Y4 J D Z5J D Z6J D Z7 D Z8 D ZZJ DJ DZ DX DY D ]9 @A @A @& A: @' A;Ddl""     G!G"G#G$G%&* @A !@A "K ~ "@ #KH $@A %.%E&K*K  *"  (     A??logoVektis-jpgPicture 3logoVektis-jpg]& ` - >@ "7ggD  \FFqЦȻX x&@8J[m`(H h01BTfPxP  dMbP?_*+%&L&"Arial,Bold"&8Bestand&"Arial,Regular" &F - &A&C&"Arial,Bold"&8Printdatum&"Arial,Regular" &D&R&"Arial,Bold"&8Blad&"Arial,Regular" &P / &N&?'?(zG?)?M\\erwtje\PR-BUAC odXXLetter DINU"4uIUPHdLetter [none] [none]Arial6P d?WVANEDE<Automatic>@    Normaal@" KXX(\?{Gz?&zU} ~} ~} m ~}  } ~} ~} m~} $~}  m ~} ~} ~} ~} m } $ |} |}  |} ~} I~} I~} ~} ~} I ~} m ~} ~} $~} $ ~77P7P7,i7E7E7E7E7E7E 7E 7 7p 7w 7w7y7y7y7|77777777777777 LrMabcaadaaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee6rMfbcaaaaaeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee6 TrSghggggggggggggggggggggggggggggggggggggggggggggggggggg6rAB_BBBBBBBBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 @A [/n`\\\\\\BBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 @*A [0n`\\\\\\BBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 DA [1n`\\\\\\BBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 @B ^2n`\\\\\\BBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 @B~ @n`\\\\\\BBBBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6 @BC_BBBBBBB Q\ RBBBBBBBBBBBBBBBGGGGGGGGGGGGGGGGGGGGGGGGGGG6        $  % ,      !   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s . s- . tM . u .q .q.q .q .q .q; .qQ .q.q .q .q .q.q .q<.z}}}}}}}}}}}}}}}}}}}}}}}}}}6 /q1 /q /x~ /rz@ /q. /s?~ /s?/s~ /sb@ / s`/ s / s/ / tM / u /q /q0 /qqq /q; /qQ /qqq /q1 /q2/q /q3</z}}}}}}}}}}}}}}}}}}}}}}}}}}6 0q1 0q 0x~ 0rz@ 0q4 0s?~ 0s@0s~ 0s@b@ 0 s@0 s 0 s5 0 tM 0 u 0q 0q6 0qqq 0q; 0qQ 0qqq 0q4 0q7 0q8 0q9<0z}}}}}}}}}}}}}}}}}}}}}}}}}}6 1q1 1q 1x~ 1rz@ 1q: 1sh~ 1s@1s~ 1sb@ 1 s`1 s 1 s; 1 t{ 1 u 1q 1q<1q 1q= 1q> 1q 1qQ 1q? 1q@1q 1q> 1qA1q 1qB<1z}}}}}}}}}}}}}}}}}}}}}}}}}}6 2q1 2q 2x~ 2rz@ 2qC 2s?~ 2s @ 2sy~ 2sc@ 2 s@2 s 2 sD 2 t{ 2 u 2q 2qE2q 2q} 2q~ 2q 2qQ2qqqqqq 2qF<2z}}}}}}}}}}}}}}}}}}}}}}}}}}6 3q1 3q 3x~ 3rz@ 3qG 3sh~ 3s>@3s~ 3s@g@ 3 s@ 3 so 3 sH 3 tM 3 u 3q 3qI 3qJ 3qK 3qL 3q; 3qQ 3qq 3qM 3qqq 3qN<3z}}}}}}}}}}}}}}}}}}}}}}}}}}6 4q1 4q 4x~ 4rz@ 4qO 4sh~ 4s>@4s~ 4sk@ 4 s`4 s 4 sP 4 tM 4 u 4q 4qQ 4qJ 4qR 4qS 4q; 4qQ4qqqqqq 4qT<4z}}}}}}}}}}}}}}}}}}}}}}}}}}6 5q1 5q 5x~ 5r~@ 5q 5sh~ 5sW@5s~ 5s`s@ 5 s5 s 5 s 5 tU 5 uD 5qE 5q5qqqq 5q5qqqqqq 5q<5z}}}}}}}}}}}}}}}}}}}}}}}}}}6 6q1 6qV 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