The rights to the supplementary CMU are granted: – To all the constituent persons the home (the petitioner and the persons to his load); – for a year, and are reconsidered each year for an eventual renewal. In case of non-renewal of its rights to the supplementary CMU: – Your patient nevertheless can continue to profit for 12 months of the exemption in advance of expense on the party taken charge of by the medical insurance, on presentation of a certificate of paying third; in this position, your patient you rule directly the not party taken charge of by the medical insurance only. – It can equally, if its resources are superior – in the limit of 20% – to the fixed ceiling for the granting of the supplementary CMU, benefit from the assistance to obtain a supplementary health.
Supporting of rights to the supplementary CMU
To justify its rights to the supplementary CMU, your patient must present you his Vital card to day. The mention “Dates back to right end” that there figures is the proof of the opening of its rights to the supplementary CMU, validate to the date advisable.
If your patient does not have any Vital card or if she is not at day, or if you did not equip in EHR software, ask him to present you his certificate paper of rights to the supplementary CMU, mentioning the list of the profitable and the starting dates and of end of rights to the supplementary CMU. Ratification, invoice and paying third.
You must practice the paying third with total exemption in advance of expense if the patient that you receive presented you a supporting one of rights to the supplementary CMU. Safe requirement on his part, your patient will have nothing to regulate you and you will have reimbursed of your honorary ones directly by his cash register of medical insurance. Bill in paying third on a leaf of cares paper In the zone “Regulation” leaf of cares, check put them “THE assured did not regulate the obligatory party” and “THE assured did not regulate the supplementary party”.
The cash register of medical insurance of your patient will regulate you directly the entirety of your honorary within a period of twenty days about.
Bill in paying third on a leaf of electronic cares
The Vital card of your patient is at day She carries the mention of the rights to the supplementary CMU. In this case, the code 9999999 7 (if the supplementary CMU is managed by a CPAM) or 8888888 8 (if the supplementary CMU is managed by another organism) registers itself on the leaf of electronic cares. Certain EMR software position themselves by default on “No paying third”. You must choose the payment addressee “Paying Third” (TP) on “Leaves obligatory (AMO)” and “Leaves supplementary (AMC)”.
The Vital card of your patient is not at day Your patient must present you his certificate paper with its rights in runs validité. Select the option “Paying Third on obligatory party and on supplementary party” (or “Paying Third on AMO and AMC”) and seize manuellement the mutualist top “M”.