Antwoord op betwisting van creditnota (RPY_COC_CRN)

DA012R - Antwoord op betwisting van creditnota (RPY_COC_CRN)
Artikel 35 en 41 van Verordening (EG) nr. 883/2004; artikel 62, 66, lid 1, en 67 van Verordening (EG) nr. 987/2009

SED API version: 0.16.2 build 2
Model version: 4.2.0

Overzichtsnota RPY_COC_CRN * [ SED ]

Algemeen CLA-referentienummer bij verbindingsorgaan van de crediteur *

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Algemeen CRN-referentienummer bij verbindingsorgaan van de crediteur *

[ BDT ] {{metaSection.globalCRNReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalCRNReferenceCreditorLiaisonBody.$$warning}}

Algemeen COC_CRN-referentienummer bij verbindingsorgaan van de debiteur *

[ BDT ] {{metaSection.globalCOCCRNReferenceDebtorLiaisonBody.$$error}} {{metaSection.globalCOCCRNReferenceDebtorLiaisonBody.$$warning}}

Algemeen RPY_COC_CRN-referentienummer bij verbindingsorgaan van de crediteur *

[ BDT ] {{metaSection.globalRPYCOCCRNReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalRPYCOCCRNReferenceCreditorLiaisonBody.$$warning}}

Totaal aantal individuele RPY_COC_CRN's *

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Totaalbedrag van aanvaarde creditnotabetwistingen * [ CC ]

Bedrag *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

Munteenheid *

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[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

Datum van indiening *

[ BDT ] {{metaSection.dateOfSubmission.$$error}} {{metaSection.dateOfSubmission.$$warning}}

Individuele RPY COC CRN's * [ SED ]

Individuele RPY_COC_CRN * [ SED ]

ID crediteurorgaan * [ CC ]

Identificatienummer van het orgaan *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Naam orgaan *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

ID debiteurorgaan * [ CC ]

Identificatienummer van het orgaan *

[ BDT ] {{metaSection.institutionID.$$error}} {{metaSection.institutionID.$$warning}}

Naam orgaan *

[ CDT ] {{metaSection.institutionName.$$error}} {{metaSection.institutionName.$$warning}}

Referentienummers * [ SED ]

Algemeen CLA-referentienummer bij verbindingsorgaan van de crediteur *

[ BDT ] {{metaSection.globalCLAReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalCLAReferenceCreditorLiaisonBody.$$warning}}

Algemeen CRN-referentienummer bij verbindingsorgaan van de crediteur *

[ BDT ] {{metaSection.globalCRNReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalCRNReferenceCreditorLiaisonBody.$$warning}}

Algemeen COC_CRN-referentienummer bij verbindingsorgaan van de debiteur *

[ BDT ] {{metaSection.globalCOCCRNReferenceDebtorLiaisonBody.$$error}} {{metaSection.globalCOCCRNReferenceDebtorLiaisonBody.$$warning}}

Algemeen RPY_COC_CRN-referentienummer bij verbindingsorgaan van de crediteur *

[ BDT ] {{metaSection.globalRPYCOCCRNReferenceCreditorLiaisonBody.$$error}} {{metaSection.globalRPYCOCCRNReferenceCreditorLiaisonBody.$$warning}}

Individueel CLA-nummer verbindingsorgaan crediteur *

[ BDT ] {{metaSection.individualCLANumberCreditorLiaisonBody.$$error}} {{metaSection.individualCLANumberCreditorLiaisonBody.$$warning}}

Individueel CRN-nummer verbindingsorgaan crediteur *

[ BDT ] {{metaSection.individualCRNNumberCreditorLiaisonBody.$$error}} {{metaSection.individualCRNNumberCreditorLiaisonBody.$$warning}}

Individueel COC_CRN-nummer verbindingsorgaan debiteur *

[ BDT ] {{metaSection.individualCOCCRNNumberDebtorLiaisonBody.$$error}} {{metaSection.individualCOCCRNNumberDebtorLiaisonBody.$$warning}}

Individueel RPY_COC_CRN-nummer verbindingsorgaan crediteur *

[ BDT ] {{metaSection.individualRPYCOCCRNNumberCreditorLiaisonBody.$$error}} {{metaSection.individualRPYCOCCRNNumberCreditorLiaisonBody.$$warning}}

Persoon die uitkeringen ontvangt * [ CC ]

Informatie betreffende de persoon * [ CC ]

Achternaam/-namen *

[ BDT ] {{metaSection.familyName.$$error}} {{metaSection.familyName.$$warning}}

Voornaam/-namen *

[ BDT ] {{metaSection.forename.$$error}} {{metaSection.forename.$$warning}}

Geboortedatum *

[ BDT ] {{metaSection.dateBirth.$$error}} {{metaSection.dateBirth.$$warning}}

Geslacht *

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[ ENUM ] {{metaSection.sex.$$error}} {{metaSection.sex.$$warning}}

Achternaam/-namen bij de geboorte

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Voornaam/-namen bij de geboorte

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Persoonlijk identificatienummer * [ CC ]

PIN van de persoon in de bevoegde lidstaat *

[ BDT ] {{metaSection.pINPersonInCompetentMemberState.$$error}} {{metaSection.pINPersonInCompetentMemberState.$$warning}}

PIN van de persoon in de lidstaat van de woon- of verblijfplaats

[ BDT ] {{metaSection.pINPersonInMemberStateStayOrResidence.$$error}} {{metaSection.pINPersonInMemberStateStayOrResidence.$$warning}}

Antwoord op betwisting creditnota *

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[ ENUM ] {{metaSection.replyCreditNoteContestation.$$error}} {{metaSection.replyCreditNoteContestation.$$warning}}

Gelieve in te vullen als "Antwoord op betwisting creditnota" = "01 - Nummer van desbetreffende gecorrigeerde vordering": [ SED ]

Gelieve in te vullen als "Antwoord op betwisting creditnota" = "03 - We aanvaarden de betwisting": [ SED ]

Gelieve in te vullen als "Antwoord op betwisting creditnota " = "02 - Correctie creditnota": [ SED ]

Gelieve in te vullen als "Antwoord op betwisting creditnota" = "99 - Andere [veld "Andere" invullen]" [ SED ]

Nummer gecorrigeerde vordering *

[ BDT ] {{metaSection.rectifiedClaimNumber.$$error}} {{metaSection.rectifiedClaimNumber.$$warning}}

Bedrag aanvaarde betwisting van creditnota [ CC ]

Bedrag *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

Munteenheid *

{{$select.selected[ 'name']}}

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

Correctie creditnota [ SED ]

Tijdvak prestaties [ CC ]

Vermeld de begindatum van de periode *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

Einddatum *

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Bedrag alle prestaties * [ SC ]

Bedrag medische zorg

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Bedrag geneesmiddelen

[ BDT ] {{metaSection.medicineAmount.$$error}} {{metaSection.medicineAmount.$$warning}}

Bedrag tandheelkundige zorg

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Bedrag langdurige zorg

[ BDT ] {{metaSection.longTermCareAmount.$$error}} {{metaSection.longTermCareAmount.$$warning}}

Uitkeringen bij ziekenhuisopname [ SC ]

Uitkering bij ziekenhuisopname [ SC ]

Periode ziekenhuisopname [ CC ]

Vermeld de begindatum van de periode *

[ BDT ] {{metaSection.startDate.$$error}} {{metaSection.startDate.$$warning}}

Einddatum *

[ BDT ] {{metaSection.endDate.$$error}} {{metaSection.endDate.$$warning}}

Bedrag ziekenhuisopname *

[ BDT ] {{metaSection.hospitalisationAmount.$$error}} {{metaSection.hospitalisationAmount.$$warning}}

Uitkering bij ziekenhuisopname

Andere uitkering(en) [ SC ]

Andere uitkering [ SC ]

Beschrijving andere uitkeringen *

[ CDT ] {{metaSection.otherBenefitDescription.$$error}} {{metaSection.otherBenefitDescription.$$warning}}

Bedrag andere uitkeringen *

[ BDT ] {{metaSection.otherBenefitsAmount.$$error}} {{metaSection.otherBenefitsAmount.$$warning}}

Andere uitkering

Aangepast bedrag creditnota * [ CC ]

Bedrag *

[ BDT ] {{metaSection.amount.$$error}} {{metaSection.amount.$$warning}}

Munteenheid *

{{$select.selected[ 'name']}}

[ ENUM ] {{metaSection.currency.$$error}} {{metaSection.currency.$$warning}}

Andere *

[ CDT ] {{metaSection.other.$$error}} {{metaSection.other.$$warning}}

Individuele RPY_COC_CRN

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