Belgium - Expert Medical and Dental Officer Services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in Luxembourg

Description

Expert medical and dental officer services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in LuxembourgLot 1: Expert medical officer services in Luxembourg,Lot 2: Expert dental officer services in Luxembourg.
Medical officers are consulted in connection with requests for prior authorisation in all the cases provided for in the regulations and at the request of the Settlements Offices for specific questions.The opinion of the medical officer is a medical opinion delivered on the basis of the medical data relating to the insured person in that officer’s possession, information supplied by the insured person’s own doctor, the results of medical and scientific research and, if necessary, after consulting the Medical Council. Dental officers provide opinions after examining the supporting documents in the light of the regulations, e.g.:• the opinion of the dental officer is required on dental estimates before certain treatments: dental prostheses, implants, orthodontic, periodontal and dental occlusion treatment;• assigning codes to services referred to on dental estimates, using the nomenclature in force;• dental officers will consistently help the staff of the Settlements Office to determine the code to be used for charging, based in particular on the wording of legislation and/or the national nomenclature used in the original invoice (e.g. classification of surgical operations, itemising of treatment).

Opportunity closing date

22 February 2021

Value of contract

to be confirmed