{"id":1010,"date":"2020-05-11T17:44:17","date_gmt":"2020-05-11T15:44:17","guid":{"rendered":"http:\/\/www.prooptic-idm.com\/wiki\/audio\/?page_id=1010"},"modified":"2020-05-11T17:44:17","modified_gmt":"2020-05-11T15:44:17","slug":"mgen","status":"publish","type":"page","link":"https:\/\/prooptic-audio.axess.fr\/?page_id=1010","title":{"rendered":"MGEN"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.prooptic-idm.com\/wiki\/wiki15\/wp-content\/uploads\/sites\/3\/2018\/03\/mgen-300x180.jpeg\" sizes=\"auto, (max-width: 335px) 100vw, 335px\" alt=\"\" width=\"335\" height=\"201\" \/><\/p>\n<p>La MGEN <strong>ne veut pas et ne sait pas<\/strong> traiter les facturations SESAM-Vitale quand il s\u2019agit de facturer les parts RO et RC pour un m\u00eame dossier.<\/p>\n<p>Plusieurs cas sont possibles :<\/p>\n<ul>\n<li><strong>Part RO seule : <\/strong><\/li>\n<\/ul>\n<p>S\u2019il ne s\u2019agit que de la part RO : cocher \u00ab\u00a0T\u00e9l\u00e9transmission S\u00e9curit\u00e9 Sociale et cocher \u00ab\u00a0Tiers Payant S\u00e9curit\u00e9 Sociale\u00a0\u00bb dans le dossier : la MGEN remboursera sans probl\u00e8me.<\/p>\n<ul>\n<li><strong>Part RC seule<\/strong> :<\/li>\n<\/ul>\n<p>A facturer sans t\u00e9l\u00e9transmission du dossier, puis, si vous \u00eates conventionn\u00e9s Audistya et que vous faites le tiers-payant, sur leur site pour un remboursement plus rapide et ne pas avoir \u00e0 imprimer de facture.<\/p>\n<ul>\n<li><strong>Part RO+RC :<\/strong><\/li>\n<\/ul>\n<p>Il ne faut pas t\u00e9l\u00e9transmettre du tout si vous \u00eates conventionn\u00e9s.\u00a0<br \/>Ne pas cocher \u00ab\u00a0T\u00e9l\u00e9transmissions S\u00e9curit\u00e9 Sociale\/MGEN\u00a0\u00bb dans le dossier, mais cliquer sur <strong>Modifier<\/strong>, et ajouter, dans l\u2019onglet \u00ab\u00a0S\u00e9curit\u00e9 Sociale\/Mutuelle\u00a0\u00bb le TP RO + l\u2019organisme MGEN RC que vous aurez cr\u00e9\u00e9 au pr\u00e9alable dans la <strong>partie mutuelle de la fiche identit\u00e9<\/strong>, comme indiqu\u00e9 :<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/prooptic-audio.axess.fr\/wp-content\/uploads\/2022\/10\/MGEN-audio-TP-700x335.png\" alt=\"\" width=\"700\" height=\"335\" \/><\/p>\n<p>Puis <strong>facturer le dossier sur le site Audistya<\/strong>.<br \/>C\u2019est le seul moyen<strong> \u00e9vitant \u00e0 la MGEN de r\u00e9gler deux fois<\/strong> la part RO et\/ou de r\u00e9gler la part RO \u00e0 vous et \u00e0 l\u2019assur\u00e9, r\u00e9clamant ensuite des r\u00e9gularisations.<\/p>\n<p>Si vous n\u2019\u00eates pas conventionn\u00e9s, vous pouvez t\u00e9l\u00e9transmettre la part RO et indiquer la part RC sans t\u00e9l\u00e9transmission, sans tiers-payant. Mais le client doit envoyer la facture mutuelle \u00e0 la MGEN.<\/p>\n<table border=\"2\">\n<tbody>\n<tr>\n<td>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n<p><strong><img decoding=\"async\" src=\"https:\/\/thibautraine.files.wordpress.com\/2011\/10\/00106906-photo-panneau-attention-point-d-exclamation.jpg?w=150&amp;h=132\" alt=\"Afficher l'image d'origine\" \/><\/strong><strong>A<\/strong><strong>vec SCOR, si vous t\u00e9l\u00e9transmettez la part RO mais que vous ne faites pas le TP, que vous ajoutiez l\u2019ordonnance num\u00e9ris\u00e9e Scor ou non, la MGEN vous demandera quand m\u00eame les papiers !<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>La MGEN ne veut pas et ne sait pas traiter les facturations SESAM-Vitale quand il s\u2019agit de facturer les parts RO et RC pour un m\u00eame dossier. Plusieurs cas sont possibles : Part RO seule : S\u2019il ne s\u2019agit que de la part RO : cocher \u00ab\u00a0T\u00e9l\u00e9transmission S\u00e9curit\u00e9 Sociale et cocher \u00ab\u00a0Tiers Payant S\u00e9curit\u00e9 Sociale\u00a0\u00bb &hellip; <a href=\"https:\/\/prooptic-audio.axess.fr\/?page_id=1010\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">MGEN<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1010","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=\/wp\/v2\/pages\/1010","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1010"}],"version-history":[{"count":0,"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=\/wp\/v2\/pages\/1010\/revisions"}],"wp:attachment":[{"href":"https:\/\/prooptic-audio.axess.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1010"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}