Invoice Doctor General Practitioner in Germany Berlin –Free Word Template Download with AI
General Practitioner (Hausarzt)
Praxis für Innere Medizin und Allgemeinmedizin
Friedrichstraße 123
10117 Berlin, Germany
Phone: +49 30 12345678
Email: [email protected]
Chamber Number: (M) 12345
Invoice No: INV-2023-10-045
Date: October 15, 2023
Due Date: November 15, 2023
Bill To:
Max Mustermann
Musterstraße 45
10715 Berlin, Germany
Insurance: AOK Berlin
Policy No: 1234567890
Payment Information:
Bank Name: Deutsche Bank AG
IBAN: DE89 3704 0044 0532 0130 00
BIC: COBADEFFXXX
Account Holder: Dr. med. Elena Schmidt
Reference: INV-2023-10-045
| No. | Description of Services | GOÄ Code | Factor | Unit Price (€) | Total (€) |
|---|---|---|---|---|---|
| 1 | Initial consultation with comprehensive medical history and physical examination for general health assessment. | 001 | 2.3 | 19.00 | 43.70 |
| 2 | Detailed cardiovascular examination including blood pressure monitoring and heart auscultation. | 003 | 1.8 | 15.00 | 27.00 |
| 3 | Respiratory system examination with lung auscultation and assessment of breathing patterns. | 004 | 1.5 | 12.00 | 18.00 |
| 4 | Abdominal examination including palpation of liver, spleen, and gastrointestinal assessment. | 005 | 1.6 | 14.00 | 22.40 |
| 5 | Neurological screening examination including reflex tests and basic cognitive assessment. | 006 | 2.0 | 17.00 | 34.00 |
| 6 | Prescription of medication with detailed instructions and follow-up recommendations. | 007 | 1.2 | 10.00 | 12.00 |
| 7 | Medical certificate for employment purposes issued in accordance with German regulations. | 008 | 1.5 | 20.00 | 30.00 |
| 8 | Health counseling session regarding lifestyle modifications, nutrition, and preventive care. | 009 | 2.0 | 25.00 | 50.00 |
| 9 | Documentation and medical record maintenance in compliance with German medical standards. | 010 | 1.0 | 8.00 | 8.00 |
| 10 | Administrative fees for processing insurance claims and correspondence with health insurance provider. | 011 | 1.0 | 15.00 | 15.00 |
| Subtotal: | € 260.10 |
| VAT (19%): | € 49.42 |
| Total Amount Due: | € 309.52 |
Important Notes and Terms:
1. This invoice is issued in accordance with the German Fee Schedule for Physicians (Gebührenordnung für Ärzte - GOÄ) and applies to private health insurance patients or self-paying individuals. Statutory health insurance patients are billed directly through their insurance provider.
2. Payment is due within 30 days of the invoice date. Late payments may incur interest charges as per German commercial law (§ 288 BGB).
3. All medical services were provided at our practice located in Berlin, Germany, in compliance with the Medical Profession Act (MBO-Ä) and local regulations of the Berlin Medical Association (Ärztekammer Berlin).
4. Please include the invoice number as a reference when making your payment to ensure proper allocation of funds.
5. For any questions regarding this invoice or your medical treatment, please contact our practice office during business hours (Monday to Friday, 8:00 AM - 6:00 PM).
6. This document serves as an official receipt for tax purposes and insurance claims. Please retain a copy for your records.
7. In accordance with German data protection laws (DSGVO/GDPR), your personal and medical information is handled with strict confidentiality and stored securely.
8. If you have private health insurance, please forward this invoice to your insurance company for reimbursement according to your policy terms.
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