Documentation for the reimbursement procedure
1. Original invoices from the healthcare provider or dispensing establishment, payment of which shall be accredited by the issuer. At least the following shall be indicated:
- a) Patient identification: name, surname(s) and DNI, NIE or passport number.
- b) Identification of the natural or legal person issuing the invoices: name or trade name and address.
- c) Name of the clinical service or unit.
- d) Identification data of the professional responsible for cross-border healthcare.
- e) Detailed breakdown of the different healthcare items in the manner specified by competent health authority, the amount of each and the date they were performed.
- f) As appropriate, the name of the medicinal product, medical device or dietetic food for special medical uses dispensed, the number of packages dispensed, the amount paid by the patient and the date of dispensing.
2. Copy of the medical prescription or report on the healthcare provided, which shall include the following:
- a) Clinical reason for providing cross-border healthcare.
- b) Diagnostic procedures or main and secondary therapeutic procedures performed in cross-border healthcare (indicating, where possible, an approved identification code, such as ICD9-CM or similar).
- c) Follow-ups that have to be carried out and their estimated time.
- d) Any other data deemed necessary to highlight in order to clarify the healthcare received or its actual cost, provided such data is strictly necessary to assess the appropriateness or amount of the reimbursement.
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