A correct claim starts in the treatment room, not at VECOZO. This guide explains how an independent clinic can make Dutch DBC registration controlled, traceable and repeatable.
What must a clinic record?
Dutch specialist care is recorded through DBC care products, care activities and the relevant patient and treatment data. The Dutch Healthcare Authority (NZa) sets the rules and tables, normally on an annual cycle. The provider remains responsible for selecting and recording the correct activity; software and external specialists can support that decision but do not replace professional responsibility.
- Assign clinical ownership for registration by specialty.
- Use the current NZa rules and product structure.
- Keep evidence for corrections and exceptions.
From consultation to claim
Create one control chain: verify patient and insurance data, open the care pathway, record activities promptly, validate diagnosis and closing reason, and only then submit the claim. A monthly worklist for open, blocked and rejected pathways prevents revenue from remaining hidden.
- Validate data at the source.
- Run technical checks before submission.
- Use four-eyes review for manual changes.
- Reconcile the EHR, claim file and accounts.
Common risks
Typical causes include late entries, incorrect start or closing dates, missing activities and a mismatch between diagnosis and the delivered care profile. Track not only acceptance rates but also the age of open pathways, correction causes and resolution time.
- Give one owner responsibility for month-end.
- Discuss recurring errors with clinicians.
- Sample the record, registration and claim together.
A practical starting point
Begin with a baseline of open DBCs, rejections and manual corrections. Then define a short registration protocol, control moments and dashboard. This turns DBC control into a routine rather than a month-end repair exercise.
Frequently asked questions
Who is responsible for a correct DBC?
The provider remains responsible for correct registration and claims, even when operational tasks are delegated.
How often do DBC rules change?
The NZa generally publishes rules and tables annually; clinics should also monitor interim notices and releases.
Which check should come first?
Start with open pathways, missing activities and previous rejections because they quickly reveal process gaps.
Official sources
This guide provides general information, not legal or medical advice. Always verify current official requirements for your circumstances.