Information areas

Topics we cover in medical claims administration

The areas below describe the general subject matter explained on this website. They are informational categories, not paid packages — there is nothing to purchase or subscribe to here.

Claims submission basics

How treatment records, prescriptions, and supporting documentation are typically compiled before a claim is sent to a statutory or private insurer.

Verification & data checks

An overview of common pre-submission checks: patient eligibility, prescription validity, tariff codes, and formatting requirements.

Claim status tracking

General explanations of how practices commonly monitor a claim's progress from submission through to settlement or query.

Rejections & queries

Background information on why claims are sometimes returned or queried by insurers, and typical next steps described in public guidance.

Patient billing statements

How co-payments and privately billed items are commonly itemised and communicated to patients.

Reporting concepts

An introduction to the kinds of internal reports practices use to track outstanding, settled, and disputed claims over time.

Regulatory context

Plain-language summaries of the regulatory framework Heilmittelerbringer typically operate within when billing German insurers.

Discipline-specific notes

Notes on how billing details differ slightly across physiotherapy, occupational therapy, speech therapy, and podiatry.

General questions

A contact channel for readers who want clarification on terminology or concepts described elsewhere on this site.

By discipline

Billing information by therapy area

Documentation and coding conventions vary slightly between disciplines. Here is a general picture of what each area typically involves.

Physiotherapy

Treatment-series based prescriptions, session tracking, and common tariff groupings referenced in statutory billing guidance.

Occupational therapy

Documentation norms around functional assessments and treatment goals as typically referenced by insurers.

Speech therapy

General notes on diagnosis codes and session reporting conventions used in logopedic billing contexts.

Podiatry

An overview of prescription types and recurring documentation points relevant to podiatric treatment billing.

The information above is descriptive and general in nature. ADH does not process claims, handle patient data, or offer paid billing services through this website. For discipline-specific rules, always refer to current guidance from the relevant health insurance fund or professional association.

Looking for something specific?

If a billing term or process isn't covered clearly enough, let us know and we'll point you toward the right reading.

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