| Session date | INAMI code | Fee | Patient's share |
|---|---|---|---|
| 03/09/2026 | 713311 | 38,37 € | 13,71 € |
| 17/09/2026 | 713311 | 38,37 € | 13,71 € |
| 24/09/2026 | 713311 | 38,37 € | 13,71 € |
| Total fees (3 sessions) | 115,11 € |
| Amount invoiced to the health insurance fund, third-party payment | 73,98 € |
| Personal share payable by the patient | 41,13 € |
Transfer of 41,13 € to account BE68 5390 0754 7034 in the name of Tom Exemple, with the structured reference +++202/6020/00214+++.
Or scan this code with your banking app: everything fills in by itself.
BIM patient: no. Third-party payment applied: the health insurance fund's share is paid directly to the speech therapist. Enterprise no. 0234.567.873.
Healthcare services exempt from VAT (article 44, § 1, paragraph 1, 1°, of the VAT Code).
Tom Exemple, speech therapist, INAMI no. 6-00022-20-222, certifies having provided the services listed above.