PID: frequently asked questions from physicians

Immediate Direct Payment (PID) lets physicians receive directly from the CNS the part of the amount covered by health insurance, by transfer to their bank account. The transfer is instant when the physician's bank supports it (CNS list: BCEE, BGL BNP Paribas, Raiffeisen, BIL and ING) and arrives within 48 hours otherwise. Any part to be borne by the patient is paid directly by the patient, and this payment triggers the payment of the statutory share by the CNS.

Physicians and insured persons covered

Launched on 26 September 2023 for general practitioners, PID was extended to all specialties on 19 March 2024. It is now available to all physicians and dentists, without obligation: each practitioner decides whether to offer it. By March 2026, 2,438 physicians and dentists had used it at least once, or 49.12% of practitioners under the CNS agreement.

PID applies to everyone covered by health and maternity insurance in Luxembourg (CNS, CMFEP, CMFEC, EMCFL). The reimbursement body is the CNS.

Other reimbursement methods

PID does not replace the existing reimbursement methods; it is added to them, and standard reimbursement remains available. If a PID simulation is refused after the patient has already paid their personal share, the physician issues a fee note dated the day of the consultation, with that share deducted as an advance, and the patient claims the remainder from their fund.

Excluded procedures

Physicians can bill through PID all procedures and services of their nomenclature, with a few exceptions: procedures outside the nomenclature, procedures covered by accident insurance or billed to a person entitled to social third-party payment, procedures subject to ACM or APCM, inpatient or day-hospital treatment, certain flat rates, case conferences and screening programmes, radiotherapy, and procedures that require an attachment or a prescription for coverage. The CNS publishes the current list.

Compensation for digital costs

The CNS-AMMD agreement provides for quarterly compensation for digital costs, calculated by multiplying the number of digital documents enforceable against health insurance by a unit compensation. Set at EUR 0.44 excluding VAT per document for 2021, this compensation has since been fixed each year by the CNS; the amendment in force since 1 June 2025 set it at EUR 0.10 including VAT per document. The statement is sent no later than the 25th of the month following the quarter, with no request from the physician.

For the installation of the service, the Agence eSanté and the CNS also pay a one-off flat fee of EUR 625 including VAT to the software publisher, once per connected physician.

Personal conveniences

Personal conveniences are entered in the software with the exact code billed to the patient (CP1 to CP7 for physicians, CP1 to CP8 for dentists). They are not covered by health insurance and are paid entirely by the insured person.

Mandatory digital transmission since 2026

Since 1 January 2026, the fee note (outside third-party payment) must be sent to the CNS in digital form; the certificate of incapacity for work and the prescription follow during 2026. PID is part of this digital transmission: the physician prints only a receipt and makes the fee note available to the patient, digitally or on paper.

PID in Doctipro

PID is integrated into Doctipro and can be used in daily practice, by physicians and dentists alike. For questions, installation or technical problems related to PID, physicians can contact us by phone or by email at info@doctipro.com.