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What's in a German medical invoice?
What's in a German medical invoice?

This guide breaks down each section of a German invoice for efficient claim processing and offers tips for handling foreign invoices.

Cristina Garcia avatar
Written by Cristina Garcia
Updated over a month ago

German invoices

These invoices follow the guidelines set in § 12 GOÄ of the German Medical Fees Regulation, ensuring clarity, completeness, and compliance with legal and billing standards.

Below is an example of a standard medical invoice issued in Germany. While not all invoices follow this exact format, they should include all the highlighted information.

Key components of a German medical invoice

I. Medical provider, Invoice, and Patient details

Includes information about the doctor, clinic address, invoice date and number, and personal details.

II. Purpose of visit

Indicates the diagnosis or reason for the visit, explaining the medical necessity of the procedure.

III. Treatment date

Lists the date of consultation or treatment. For multiple sessions, like physiotherapy, each session is listed separately with its date.

IV. Service codes and Description

German medical invoices use specific service codes for each procedure, which vary by the type of doctor and their practice.

In this example, the GOÄ is used by the general doctor. Each code (Geb.Nr. GOÄ) must be followed by its corresponding description (Leistung).

V. Supporting details and Total cost

  • Anz. stands for "Anzahl," which indicates the quantity or number of times a specific service code was performed.

  • Faktor refers to the severity factor of each treatment.

  • EUR represents the cost, which is determined by the quantity ("Anz.") and the severity factor ("Faktor").

  • Rechnungsbetrag shows the total amount for the medical visit.

Foreign invoices

Since some concepts are unique to German standards, foreign invoices may not include all the expected details.

Therefore, when submitting for reimbursement, the following should be considered:

  • Translation: If the invoice is not in Spanish or English, it must be accompanied by an English translation.

  • Details: The invoice should provide a clear and detailed explanation of the treatments and procedures. If this is not included, you can also submit a separate explanation from the doctor detailing the procedures performed along with the invoice.

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