Checking your medical bills

Checking your medical bills
By carefully checking each medical bill that you receive, as a patient, can help to avoid unnecessary costs – and
have a positive effect on your premiums. CSS cannot know exactly what treatment you received. You are the
only one who is able to check certain items on your bill and notify CSS of any irregularities, e.g. the reason for
treatment is incorrect. Many thanks from CSS for checking the points set out below.
TP-Rechnung
Dokument
Rechnungssteller
Leistungserbringer
Patient
Auftraggeber
Diagnose
EAN-Liste
Release
4.3G
M
Seite
101
04.10.2006
09:52:51
1
123 1159948372
456789 03.01.2014
09:52:51
Muster
• 4600
Olten
EAN-Nr.
med. A.
Paul
Muster• Beispielweg
· Beispielweg
· 1234
Mustern
7601001368583
7601234567890 Dr. med.
Tel. 062
Fax 062
68 09 49E-Mail: E-mail: [email protected]
ZSR-Nr.
Tel:
052123
74245
0967
45
Fax:123
05245742
x999999
K951400
Muster
• 4600
Olten
EAN-Nr.
med. A.
Paul
Muster• Beispielweg
· Beispielweg
· 1234
Mustern
7601001368583
7601234567890 Dr. med.
B
x999999
Tel. 062
Fax 062
68 09 49E-Mail: E-mail: [email protected]
ZSR-Nr./NIF-Nr.
Tel:
052123
74245
0967
45
Fax:123
05245742
K951400
Name
EAN-Nr.
7601003000078
MUSTER
Vorname
Max
Hans
Strasse
Hauptstrasse 88 A
Stadtstrasse
PLZ
7000
9988
Hans
SUVAMuster
Ort
CHUR
Musterort
Stadtstrasse
88 1
Fluhmattstrasse
Geburtsdatum
01.12.1960
01.01.1950
6002 Musterort
Luzern
9988
Geschlecht
M
Unfalldatum
06.08.2006
Unfall-/Verfüg.Nr.
21.23424.97.6
AHV-Nr.
12345678901
Versicherten-Nr.
12345678
321
Betriebs-Nr./-Name
Migros · Grossi Schanz 10 · 8260 Stein am Rhein 2
Kanton
LU
TG 1234567801234
Muster Maria
Nein x999999
Rechnungskopie
9988 Musterort
TG
Vergütungsart
TP
KVG
Gesetz
UVG
C
Krankheit
Behandlungsgrund
Unfall
12.03.2013
Behandlung
Rechnungsnr.
06.08.2006 - 09.08.2006
429
Xyz-666-11
Praxis
Erbringungsort
Rechnungs-/Mahndatum
04.10.2006
03.01.2014
EAN-Nr./ZSR-Nr.
Dr. med. Peter Muster · 7180 MUSTER
/
XYZ; X.91 · Beinbruch
1/7601001368583
Bemerkung
Datum
Tarif
Tarifziffer
Bezugsziffer Si St Anzahl TP AL/Preis
Konsultation, erste 5 Min. (Grundkonsultation)
Datum
07.08.2006 Tarif001Tarifziffer
00.0010
Bezugsziffer
1
f AL TPW AL
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag)
07.08.2006 4000011234567
00.0020 00.0010 1
2.00
1.00
12.03.2013
1 9.57 1.00
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
Medikament
Filmtabl 1mg m Farbzusatz 30 Stk


D
07.08.2006
001 00.0030 00.0010
1
TP TL
f TL TPW TL A
V P M
1.00
4.78 1.00
AL TL
8.19 1.00
1.00
0.92 1 110 20 1 2
TL
0.92
4.10 1.00
0.92 1 1 0 0
9.57 1.00 0.82
08.08.2006 00100100.0020
00.0020 00.0010
2.00
1.00
12.03.2013
00.0010 1
1 9.57 4.00
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
jede weiteren
08.08.2006
001+ Konsultation,
00.0030 00.0010
1 5 Min.
1.00
4.78 1.00
(Konsultationszuschlag)
Konsultation, erste 5 Min. (Grundkonsultation)
0.921.00 0.82
8.19 8.19
1.00 1.00
0.920.82
1 110 20 1 0
9.57
08.08.2006
Konsultation, erste 5 Min. (Grundkonsultation)
00.0010
1
1.00
001Konsultation,
00.0010 erste 5 Min. 1(Grundkonsultation)
1.00
9.57 1.00
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag)
0.92
8.55
Preis
12.03.2013 001


E

0.92
0.92
8.19 1.00 0.82
8.19 1.00
4.10 1.00
1 2 1 0
0.92 1 1 0 0
0.92 1 1 0 0
09.08.2006 00100109.0010
00.0010
1.00
1.00 28.70
0.921.00 0.82
8.19 35.32
1.00 1.00
0.928.20
1 110 20 1 0
12.03.2013
00.0010 1
1 9.57 1.00
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag)
Untersuchung durch den Facharzt ORL



09.08.2006
09.08.2006
001 00.0020 00.0010
2.00
92.45 (100.47)
1
1.00
Physio
Tarmed
TL
(86.01)correct?Labor
79.10
Is your date
of birth
and
address
Gesamtbetrag/CHF
171.55
davon PFL
B Attending service provider:
123456
MWSt.Nr.
9.57 1.00
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
001 00.0030 00.0010
A Personal
details:
PFL
Tarmed AL
1
4.78 1.00
0.00
0.00
171.55
Is the service provider who treated you stated correctly?
Code
Betrag
MWSt
0
0.00
171.56
C Reason for treatment:
0.00
0.00
Total
Satz
171.55
What prompted the treatment: illness, accident,
maternity or preventive health measures?
D Date:
Betrag
TPW
Anzahl
1.00 Si ST9.57
1.00TP AL/
0.92 f AL TPW
8.19 TP
1.00 f TL
0.92
1 1A0 V0 P M Betrag
16.34
32.68
8.55
8.17
14.57
16.34
32.68
63.23
8.17
16.34
52.49
0.92
8.19 1.00
0.92 1 1 0 0
32.68
0.92
4.10 1.00
0.92 1 1 0 0
8.17
EMiGel
Rate code
+ units:
0.00
Übrige
0.00
Medi Describes
0.00
the
natureKantonal
and quantity of0.00
items that
are being0.00
billed:
Anzahlung
Fälliger Betrag
171.55
• Check the medication item: are the pack size
and the number of packs you received correct?
• Check the length of treatment: Does the time
given correspond roughly to the total duration
of your treatment?
• Check the aids item: Were you given a whole
pack, or just one bandage?
Is the date of treatment correct? 
>
How to check your bill
1.If you have not received a copy of the invoice, request one from your doctor or
hospital, or from CSS Insurance directly by calling 0844 277 277. The service provider
is required by law to provide you with a copy.
2.Check through the points A – E that are described on the front of this page.
3.If anything is incorrect or unclear, please do not hesitate to call the CSS Serviceline
on 0844 277 277, or the service provider, to request a corrected bill.
The refund process
1. Stick one of your barcode stickers to a blank area on the bill.
2.Send the bill to the following address (do not enclose a payment slip):
CSS Insurance, Service-Center, P.O. Box 2550, 6002 Lucerne
Note on fixed sums for emergencies
A fixed emergency sum may be requested only if the specialist deals with or
seeks out the patient immediately. The flat-rate fee may not be claimed if you had
to wait in the waiting room or at the hospital‘s emergency unit.
Other service providers
Bills from other service providers such as physiotherapists may be set out differently.
Whatever the format, you should always check the following points:
06652e-01.15-pdf
Inpatient treatment: Personal details, attending service provider, reason for
treatment, date
Pharmacies: Medication, pack size, number of packs, reason for treatment
Physiotherapy: Personal details, reason for treatment, date, number of sessions
Alternative medicine: Type of therapy, duration, service provider, reason for treatment
Spitex/nursing/midwife: Duration of care, services billed, dates services provided,
nursing supplies, medication