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Doctor's Office Financial Agreement

Doctor's Office Financial Agreement Template for Germany

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Key Requirements PROMPT example:

Doctor's Office Financial Agreement

"I need a Doctor's Office Financial Agreement for my new general practice in Berlin, opening March 2025, that covers both private and statutory health insurance patients, with specific provisions for electronic billing and installment payment plans."

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Document background
The Doctor's Office Financial Agreement serves as a crucial document for medical practices in Germany, establishing clear financial terms between healthcare providers and patients. This agreement is essential for practices handling both private patients and those with statutory health insurance (gesetzliche Krankenversicherung). It incorporates requirements from the German Medical Fee Schedule (GOÄ), federal healthcare regulations, and GDPR/DSGVO data protection requirements. The document is particularly important in light of Germany's dual healthcare system, where billing procedures and payment terms can vary significantly between private and public insurance patients. It helps medical practices maintain transparent financial relationships while ensuring compliance with German healthcare and contract law.
Suggested Sections

1. Parties: Identification of the medical practice/doctor and the patient, including full legal names, addresses, and relevant identification numbers

2. Background: Brief context explaining the purpose of the agreement and the doctor-patient relationship

3. Definitions: Key terms used throughout the agreement, including medical services, payment terms, insurance types, and other relevant terminology

4. Services and Fees: Overview of medical services covered and reference to the German Medical Fee Schedule (GOÄ)

5. Payment Terms: Details of payment obligations, timing, accepted payment methods, and late payment consequences

6. Insurance and Billing: Process for insurance claims, direct billing, and patient responsibilities for payment

7. Data Protection: GDPR-compliant section on handling of personal and financial data

8. Duration and Termination: Terms regarding the agreement's duration and conditions for termination

9. General Provisions: Standard legal clauses including governing law, jurisdiction, and severability

Optional Sections

1. Private Insurance Provisions: Specific terms for privately insured patients, including higher fee schedules and direct billing options

2. Statutory Insurance Provisions: Specific terms for patients with statutory health insurance (gesetzliche Krankenversicherung)

3. International Patient Terms: Additional provisions for international patients, including currency conversion and international payment methods

4. Appointment and Cancellation Policy: Terms regarding scheduling and cancellation fees, if applicable

5. Third-Party Payment Arrangements: Terms for cases where a third party is responsible for payment

Suggested Schedules

1. Schedule A - Fee Schedule: Detailed list of common procedures and their associated fees according to GOÄ

2. Schedule B - Payment Methods: Detailed information about accepted payment methods and processing procedures

3. Schedule C - Insurance Information: Forms and procedures for insurance claim submissions

4. Appendix 1 - Data Protection Notice: Detailed GDPR-compliant privacy notice regarding financial data processing

5. Appendix 2 - Patient Consent Form: Consent form for financial arrangements and data processing

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

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant legal definitions
Agreement
Medical Practice
Healthcare Provider
Patient
Medical Services
Gebührenordnung für Ärzte (GOÄ)
Fee Schedule
Private Health Insurance (Private Krankenversicherung)
Statutory Health Insurance (Gesetzliche Krankenversicherung)
Insurance Provider
Payment Terms
Due Date
Medical Treatment
Appointment
Billing Cycle
Late Payment
Direct Billing
Self-Pay Patient
Personal Data
Financial Records
Medical Records
Business Day
Force Majeure
Professional Services
Additional Services
Emergency Services
Standard Rate
Premium Rate
Insurance Claim
Deductible (Selbstbeteiligung)
Co-payment (Zuzahlung)
Consultation
Treatment Plan
Payment Method
Electronic Billing
Confidential Information
Data Processing
Notice Period
Outstanding Balance
Payment Plan
Third-Party Payer
Relevant Industries

Healthcare

Medical Services

Private Medical Practice

Healthcare Administration

Insurance

Healthcare Technology

Medical Billing Services

Healthcare Consulting

Medical Practice Management

Relevant Teams

Legal

Finance

Compliance

Operations

Administration

Patient Services

Billing

Insurance Coordination

Risk Management

Practice Management

Relevant Roles

Medical Practice Owner

Physician

Practice Manager

Healthcare Administrator

Medical Billing Specialist

Healthcare Compliance Officer

Medical Office Manager

Financial Controller

Legal Counsel

Healthcare Consultant

Insurance Coordinator

Patient Account Representative

Practice Development Manager

Healthcare Operations Director

Industries
Bürgerliches Gesetzbuch (BGB): German Civil Code - Provides the fundamental contract law framework, including formation, terms, and enforcement of contracts
Gebührenordnung für Ärzte (GOÄ): Medical Fee Schedule - Regulates the pricing and billing of medical services for private patients in Germany
Datenschutz-Grundverordnung (DSGVO/GDPR): Data Protection Regulation - Governs the handling and protection of patient personal and financial data
Bundesmantelvertrag-Ärzte (BMV-Ä): Federal Framework Agreement for Physicians - Regulates the relationship between physicians and statutory health insurance
Sozialgesetzbuch V (SGB V): Social Security Code Book V - Contains regulations regarding statutory health insurance and medical practice
Berufsordnung für Ärzte: Professional Code of Conduct for Physicians - Sets ethical and professional standards for medical practice, including financial aspects
Zahlungsverzugsgesetz: Late Payment Law - Regulates payment terms and consequences of late payments in commercial transactions
Patientenrechtegesetz: Patients' Rights Act - Defines rights of patients including transparency in treatment costs and billing
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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