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National Association of Statutory Health Insurance Physicians: Who Qualifies and What You Get

Learn how doctors billing statutory health insurance use this association's standards and infrastructure to manage outpatient care billing.

This association provides the necessary framework, infrastructure, and professional standards for doctors who manage outpatient care and billing within the statutory health insurance system.

Who it's for

This scheme is specifically for medical doctors who are responsible for billing services provided to patients covered under statutory health insurance (GKV). It is intended for those operating within the outpatient sector who must adhere to national medical billing protocols.

What you get

You receive the essential infrastructure required to handle outpatient care billing. This includes the technical standards and frameworks necessary to process medical services correctly. By following these standards, you ensure that your billing practices for outpatient care align with the national requirements for statutory health insurance.

What it costs you

The primary cost is the administrative time required to manage your digital systems. You will need to dedicate time to the integration of your practice's digital tools with the official portal and ensure that your workflow accommodates these specific technical requirements.

The catch to know

The most important thing to remember is that you cannot use any software you choose for your billing. Your practice management software (PVS) must be officially certified by the KBV to ensure it can correctly handle the required billing standards and technical integrations.

How to apply

  1. Confirm that your medical practice is set up to bill patients under statutory health insurance.
  2. Check that your current practice management software (PVS) holds the necessary official certification.
  3. Allocate time to integrate your digital workflows with the required national standards.
  4. Visit the official portal for detailed technical requirements: https://www.kbv.de