Services in the field of processing collective invoices for health insurance benefits. These are invoices issued by other outpatient service providers or their service providers (billing centres, etc.) and on which the services provided to several PBeaKK insured persons are summarised. With the exception of these collective invoices, the entire processing of services by the client is paperless, so that this process is an exception in the process landscape. Therefore, these services are to be provided by an external service provider (bidder, contractor or contractor) for the client. The AG pursues the goal of ensuring the processing of collective invoices at a high level, i.e. checking calculation bases and adhering to payment terms.

The contract to be awarded includes the following process steps and compliance with the framework conditions described in the tender documents:

- Acceptance of collective invoices in physical form

- Audit of transactions according to the audit processes provided by PBeaKK for invoice verification

- Determination of the payout amount and entry of the amount into the client's system and making it payable

- Consideration of related subject areas (e.g. load limit, co-payment) and, if necessary, coordination with named responsible persons of the PBeaKK

- If necessary, clarification of individual cases by telephone with the invoice issuer in the event of discrepancies

- Archiving of collective invoices and receipts

- Compliance with data protection requirements and regulations

- Preparation of evaluations and statistics

The AG assumes an annual volume of approx. 18,000 collective invoices.

Experience shows that an average of 6,000 hours per year (an average of 500 per month) are required to process the aforementioned invoice amount.

Due to the billing behavior of the service providers or their billing centers, experience has shown that there is no continuous receipt of invoices and there are fluctuations in volume on a daily basis.

Due to a decreasing number of insured persons and changes in treatment and billing behavior, there may be deviations from these quantities. These are therefore pure calculation quantities: The Client is not obliged to make certain quantities available to the Contractor for processing or to allocate them.

Services in the field of processing collective invoices for health insurance benefits. These are invoices issued by other outpatient service providers or their service providers (billing centres, etc.) and on which the services provided to several PBeaKK insured persons are summarised. With the exception of these collective invoices, the entire processing of services by the client is paperless, so that this process is an exception in the process landscape. Therefore, these services are to be provided by an external service provider (bidder, contractor or contractor) for the client. The AG pursues the goal of ensuring the processing of collective invoices at a high level, i.e. checking calculation bases and adhering to payment terms.

The contract to be awarded includes the following process steps and compliance with the framework conditions described in the tender documents:

- Acceptance of collective invoices in physical form

- Audit of transactions according to the audit processes provided by PBeaKK for invoice verification

- Determination of the payout amount and entry of the amount into the client's system and making it payable

- Consideration of related subject areas (e.g. load limit, co-payment) and, if necessary, coordination with named responsible persons of the PBeaKK

- If necessary, clarification of individual cases by telephone with the invoice issuer in the event of discrepancies

- Archiving of collective invoices and receipts

- Compliance with data protection requirements and regulations

- Preparation of evaluations and statistics

The AG assumes an annual volume of approx. 18,000 collective invoices.

Experience shows that an average of 6,000 hours per year (an average of 500 per month) are required to process the aforementioned invoice amount.

Due to the billing behavior of the service providers or their billing centers, experience has shown that there is no continuous receipt of invoices and there are fluctuations in volume on a daily basis.

Due to a decreasing number of insured persons and changes in treatment and billing behavior, there may be deviations from these quantities. These are therefore pure calculation quantities: The Client is not obliged to make certain quantities available to the Contractor for processing or to allocate them.