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Medical Bill for Switzerland

Medical Bill Template for Switzerland

A Swiss medical bill is a formal financial document issued by healthcare providers in Switzerland, structured according to federal and cantonal healthcare regulations. It must comply with the Federal Health Insurance Act (KVG/LAMal) and utilize the TARMED tariff system for service coding. The document details medical services provided, including precise service codes, healthcare provider information, patient details, and insurance specifications. It serves as both a legal invoice and a record for insurance claims, incorporating mandatory elements such as provider identification numbers, patient insurance details, and standardized service descriptions.

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What is a Medical Bill?

The Medical Bill is a fundamental document in the Swiss healthcare system, required for all medical service provisions and subsequent insurance claims. It serves as the primary billing instrument between healthcare providers, patients, and insurance companies, governed by Swiss federal and cantonal regulations. The document must conform to strict formatting and content requirements under the KVG/LAMal framework and TARMED tariff system. It includes essential elements such as provider details, patient information, service codes, and payment specifications. This standardized format ensures efficient processing by insurance companies, maintains transparency in healthcare billing, and facilitates accurate record-keeping for all parties involved. The document is crucial for both mandatory basic health insurance (KVG/LAMal) claims and supplementary insurance processing.

What sections should be included in a Medical Bill?

1. Healthcare Provider Information: Complete details of the medical facility/practitioner including name, address, ZSR number, and GLN number

2. Patient Information: Patient's full name, address, date of birth, insurance number, and AHV/AVS (social security) number

3. Insurance Details: Primary insurance provider information, policy number, and any supplementary insurance details

4. Treatment Information: Dates of service, treating physician, and department/specialty

5. Service Items: Detailed list of medical services provided with TARMED codes, quantities, and individual prices

6. Billing Summary: Total amounts, including subtotals by category, VAT if applicable, and final amount

7. Payment Information: Payment terms, due date, and complete banking details including IBAN

What sections are optional to include in a Medical Bill?

1. Accident Insurance Details: Include when treatment is related to an accident, with accident date and insurance details

2. Referral Information: Add when patient was referred by another healthcare provider

3. Third-Party Payer Details: Include when a third party is responsible for payment (e.g., employer, liability insurance)

4. Cantonal Subsidy Information: Include for patients receiving cantonal premium subsidies

5. Multiple Treatment Dates: Add when billing covers multiple treatment sessions or an extended stay

What schedules should be included in a Medical Bill?

1. Detailed Service Breakdown: Itemized list of services with TARMED positions, time units, and medical material

2. Laboratory Results Reference: References to any laboratory tests performed with their codes and dates

3. Prescription Details: List of prescribed medications and medical supplies with pharmacode numbers

4. Insurance Coverage Calculation: Breakdown of costs covered by basic insurance vs. supplementary insurance

5. Supporting Medical Documentation: Any required medical reports or documentation supporting the billed services

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Switzerland

Publisher

Genie AI

Document Type

Invoice Form

Sector

Sales

Cost

Free to use
Relevant legal definitions






























Clauses




















Relevant Industries

Healthcare

Insurance

Medical Services

Healthcare Administration

Financial Services

Medical Billing

Pharmaceutical

Public Health

Social Security

Relevant Teams

Billing

Finance

Healthcare Administration

Insurance Claims Processing

Revenue Cycle Management

Medical Records

Accounts Receivable

Compliance

Patient Accounts

Insurance Verification

Relevant Roles

Medical Biller

Healthcare Administrator

Insurance Claims Specialist

Medical Practice Manager

Hospital Administrator

Financial Controller

Healthcare Accountant

Insurance Coordinator

Medical Office Manager

Compliance Officer

Healthcare Finance Manager

Medical Records Manager

Patient Account Representative

Revenue Cycle Manager

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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