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Belgium-Brussels: Expert Medical and Dental Officer Services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in Luxembourg
Section I: Contracting authority
Section II: Object
Expert Medical and Dental Officer Services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in Luxembourg
Expert medical and dental officer services for the Settlement Office of the European Union’s Joint Sickness Insurance Scheme (JSIS) in Luxembourg
Lot 1: Expert medical officer services in Luxembourg,
Lot 2: Expert dental officer services in Luxembourg.
Expert Medical 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.
Initial duration 24 months, tacit renewal twice for 12 months.
EU Administrative Credits.
Expert Dental Officer Services in Luxembourg
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).
EU Administrative Credits
Section III: Legal, economic, financial and technical information
As stated in the procurement documents.
Service reserved to the medical professionals (certificate issued by the Council of the College of Physicians with valid registration number).
Section IV: Procedure
Section VI: Complementary information