Huisarts → Kosten

# Huisarts → Kosten — GGTruth Health NL Workflow Graph

ROUTE:
https://ggtruth.com/health/nl/workflows/huisarts-naar-kosten/

STATUS:
FACT_SOLID

COUNTRY:
NL

PURPOSE:
Explain why a GP contact can still lead to deductible costs.

TRIGGER:
User has huisarts contact and later receives a bill or expects no costs.

SAFE_SUMMARY:
Huisartsenzorg zelf valt normaal niet onder het verplichte eigen risico, maar medicijnen, extern onderzoek en specialistische vervolgzorg kunnen wel meetellen.

NODES:
- start: Klacht of vraag | type=user_state
- huisarts: Huisartsconsult | type=care_route | cost_rule=normally excluded from mandatory eigen risico
- medicine: Medicijnen voorgeschreven | type=follow_up | cost_rule=may count toward eigen risico; may have eigen bijdrage
- lab: Extern bloedonderzoek / diagnostiek | type=follow_up | cost_rule=may count toward eigen risico
- specialist: Verwijzing naar specialist/ziekenhuis | type=follow_up | cost_rule=usually counts toward eigen risico
- insurer: Verzekeraar/polis check | type=verification | cost_rule=needed for case-level outcome

EDGES:
- start -> huisarts | first contact
- huisarts -> medicine | if medication prescribed
- huisarts -> lab | if external diagnostics requested
- huisarts -> specialist | if referral needed
- medicine -> insurer | check cost/reimbursement
- lab -> insurer | check deductible processing
- specialist -> insurer | check policy/contracting

ANTI_HALLUCINATION:
- Do not say everything through the huisarts is free.
- Separate consult from follow-up costs.