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VECOZO COV check

With the VECOZO Coverage Verification (COV) integration, Flux automatically retrieves a patient’s current insurance information.Met de Controle Op Verzekeringsgegevens (COV-check) haalt Flux automatisch de actuele verzekeringsinformatie van een patiënt.

Overview

With the Coverage Verification (COV) integration, Flux uses VECOZO to automatically retrieve where and how a patient is insured. This helps you send claims to the correct health insurer and prevent avoidable errors in your claims process. Flux only uses the data required for the COV lookup.

Flux can run a COV check as soon as enough patient data is available, for example when:

  • creating a new patient
  • opening an existing patient record, or
  • creating a new invoice

Flux then immediately shows whether someone is insured, with which health insurer, and with which policy details. That way you always work with current data when planning, treating, and submitting claims.

Configuration

Go to Settings → Apps → COV check to activate the integration in Flux after the VECOZO authorization for COV is active.

Requirements

To activate the VECOZO COV check, you need the following:

  1. A Flux user with the Owner role
  2. A VECOZO login for the contact person of the practice or organization
  3. A valid AGB code for the practice or organization

Set up in Flux

Once the authorization in VECOZO is active, complete the setup in Flux:

  • Enable COV check using the switch
  • Select the AGB code Flux should use for COV
    • If you do not select an AGB code, Flux automatically uses the first available practice or organization AGB.
  • Click Save

The integration is then active. From that moment on, Flux automatically performs COV checks whenever needed.

Set up in VECOZO

The contact person of your practice or organization must explicitly authorize Flux in Mijn VECOZO for the Coverage Verification (COV) service.

  • Log in to Mijn VECOZO
  • Go to Mijn externe toestemmingsverklaringen
  • Click Add authorization
  • In the Applicatie list, select the Coverage Verification (COV) service
  • In the Type instantie list, usually select Tussenpartij software
  • Click Continue, accept the disclaimer, and click Save

It takes about 30 minutes for the authorization to become active. Then check in Flux whether you can enable the integration. If needed, also review the VECOZO explanation about authorizations.

Using the COV check

Automatic COV checks

Flux automatically performs a COV check when you open, add, or invoice a patient if a new check is needed. For example when:

  • the last COV check is older than 28 days
  • the last COV check took place in the previous calendar year
  • the patient has turned 18 (transition to an adult insurance policy)

The results are stored directly in the patient record under Insurance details. There you can see:

  • the name of the health insurer
  • the policy number and effective date
  • the insurance status (active or ended)

Bulk COV check

In addition to automatic checks, you can also run a bulk COV check. Flux then checks all patients with a known appointment in the system at once. Because the automatic COV checks keep running, a bulk check is usually unnecessary, even after the turn of the year.

Only use the bulk COV check as a last resort, for example after major changes to VECOZO permissions or authorizations. The bulk COV check runs in the background and can take several minutes to hours, depending on the number of patients.

Important notes

  • Flux can only perform COV checks if Flux has an active external authorization for COV in VECOZO
  • A valid practice or organization AGB is required to approve the integration
  • The COV check only verifies whether someone is insured, not what is reimbursed
  • Use the Care Reimbursement integration for reimbursement information
  • Regularly verify whether VECOZO permissions and certificates are still valid to prevent interruptions

Data exchange

Flux → VECOZO: the data required for the COV lookup, such as the patient’s BSN and date of birth.

VECOZO → Flux: current insurance details such as health insurer, policy details, and status.

Flux: stores this data securely in the patient record.

Frequently asked questions

Frequently asked questions about the VECOZO COV check.

  • What exactly does the COV check do?

    The COV check verifies whether a patient is insured, with which health insurer, and what the status of that insurance is. The COV check does not provide insight into reimbursements or policy conditions.

    Read more about COV on the official VECOZO documentation page.

  • When does Flux automatically run a COV check?

    Flux automatically runs a COV check in the background whenever needed, for example when creating a patient, opening a record, or creating an invoice.

  • What is the bulk COV check and when should I use it?

    The bulk COV check checks all patients with an appointment in Flux at once. Only use it in exceptional cases, for example after changes to VECOZO permissions or authorizations.

  • I already connected VECOZO Claims. Why is COV still not working?

    Because COV and Claims are two separate VECOZO services. An authorization in Mijn VECOZO applies per service. So besides Claims, you must also grant Flux separate authorization for Coverage Verification (COV).