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1. Healthcare Provider Information: Full legal name, address, medical license number, KvK (Chamber of Commerce) number, BIG registration number, and VAT number (if applicable) of the healthcare provider
2. Patient Information: Patient's full name, address, date of birth, insurance policy number, and patient ID (with minimal personal data in accordance with GDPR)
3. Invoice Details: Invoice number, date of invoice, and due date
4. Service Information: Detailed description of medical services provided, including dates of service, treatment codes (DBC/DOT codes), and healthcare provider reference
5. Financial Summary: Itemized list of charges, applicable rates, totals, and any insurance-related information
6. Payment Information: Bank account details, payment terms, and accepted payment methods
7. Legal Notices: Required statements about VAT exemption for medical services, privacy notice, and data processing information
1. Insurance Coverage Details: Include when the invoice needs to be submitted to insurance, showing coverage percentages and patient co-pay requirements
2. Third-Party Payer Information: Include when payment will be made by a party other than the patient (e.g., employer, institution)
3. Treatment History Reference: Include when the invoice is part of an ongoing treatment series or references previous treatments
4. Special Arrangements: Include when there are special payment arrangements or installment plans
5. Referral Information: Include when treatment was based on referral from another healthcare provider
1. Detailed Service Specification: Detailed breakdown of services with applicable healthcare treatment codes and descriptions
2. Insurance Coverage Statement: Statement from insurance company regarding coverage and approved amounts
3. Payment History: For follow-up invoices, a record of previous payments and outstanding balances
4. Supporting Medical Documentation: Any required medical documentation to support the billing (with appropriate privacy measures)
DOT Code
Healthcare Provider
Treatment Provider
Patient
Insurance Provider
Medical Service
Treatment Date
Invoice Period
Due Date
Payment Terms
VAT Exemption
BIG Registration
KvK Number
AGB Code
Medical Treatment
Consultation
Referral
Insurance Policy
Policy Number
Patient ID
Healthcare Institution
Treatment Location
Service Description
Basic Insurance
Supplementary Insurance
Co-payment
Deductible
Payment Method
Bank Details
Privacy Notice
Personal Data
Medical Record
Treatment Plan
Healthcare Market Regulation Act
Medical Treatment Agreement
Medical Service Description
Payment Terms
Insurance Coverage
Healthcare Provider Details
Patient Information
Medical Record Reference
Billing Details
VAT Exemption
Privacy Notice
Record Retention
Payment Instructions
Insurance Processing
Healthcare Provider Registration
Treatment Authorization
Service Delivery
Confidentiality
Legal Compliance
Dispute Resolution
Documentation Requirements
Healthcare
Medical Services
Hospital Administration
Private Medical Practice
Dental Care
Mental Health Services
Physical Therapy
Specialized Medical Care
Primary Care
Healthcare Insurance
Medical Administration
Finance
Medical Administration
Billing
Compliance
Revenue Cycle
Medical Records
Patient Accounts
Healthcare Operations
Insurance Processing
Administrative Support
Healthcare Administrator
Medical Billing Specialist
Practice Manager
Financial Controller
Healthcare Provider
Medical Records Officer
Accounts Receivable Specialist
Compliance Officer
Medical Office Manager
Insurance Claims Processor
Healthcare Financial Manager
Medical Administrative Assistant
Revenue Cycle Manager
Medical Billing Coordinator
Healthcare Operations Manager
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