Invoice Radiologist in Germany Berlin –Free Word Template Download with AI
Dr. med. Klaus Weber, Lead Radiologist
Friedrichstraße 123, 10117 Berlin, Germany
Phone: +49 (0)30 12345678
Email: [email protected]
USt-IdNr.: DE123456789
Handelsregister: HRB 98765 B (Amtsgericht Berlin-Charlottenburg)
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Reference: Patient ID #88421 / Contract #RAD-BER-2023
Bill To
Charité – Universitätsmedizin Berlin
Department of Internal Medicine
Augustenburger Platz 1
13353 Berlin, Germany
Attn: Procurement Department
Service Location
Berlin Advanced Radiology Center
Imaging Suite B
Friedrichstraße 123
10117 Berlin, Germany
| Item | Description of Radiological Services | Quantity | Unit Price (EUR) | Total (EUR) |
|---|---|---|---|---|
| 1 |
Magnetic Resonance Imaging (MRI) - Brain with Contrast Comprehensive diagnostic imaging performed by a certified Radiologist in Berlin. Includes pre-scan consultation, administration of gadolinium-based contrast agent, high-resolution 3T MRI sequence acquisition, and detailed interpretation of neuroanatomical structures to detect pathologies such as tumors, vascular malformations, or demyelinating diseases. Report generated in accordance with German medical standards. |
1 | 450.00 | 450.00 |
| 2 |
Computed Tomography (CT) - Chest with Contrast Advanced CT scan of the thoracic region performed at our Berlin facility. This service includes the evaluation of pulmonary parenchyma, mediastinum, and pleural spaces. The Radiologist has provided a detailed analysis for potential pulmonary embolisms, nodules, or infectious processes. Includes image reconstruction and digital archiving compliant with German data protection laws (DSGVO). |
1 | 380.00 | 380.00 |
| 3 |
Ultrasound Examination - Abdomen (Complete) Real-time sonographic evaluation of the liver, gallbladder, pancreas, spleen, kidneys, and major abdominal vessels. Conducted by a senior Radiologist specializing in abdominal imaging. This non-invasive procedure aids in the diagnosis of hepatobiliary disorders, renal calculi, and vascular anomalies. Includes Doppler flow assessment. |
1 | 220.00 | 220.00 |
| 4 |
Expert Radiological Report & Consultation Detailed written diagnostic report for all aforementioned imaging procedures. The report includes a comparison with prior imaging studies, a comprehensive impression, and recommendations for further clinical management. This service reflects the specialized expertise of the Radiologist and ensures accurate communication with the referring physician in Berlin. |
1 | 150.00 | 150.00 |
| 5 |
Image Data Transfer & Archiving Secure transmission of DICOM images via encrypted channel to the referring hospital's PACS system. Includes long-term digital storage of patient data in compliance with German medical record retention laws (10 years). |
1 | 50.00 | 50.00 |
Payment Terms and Banking Information
Please remit payment within 30 days of the invoice date. Late payments may incur interest charges in accordance with German commercial law.
Bank Name: Deutsche Bank AG Berlin
IBAN: DE89 3704 0044 0532 0130 00
BIC: DEUTDEDBBER
Reference: INV-2023-10-045
Legal and Professional Notes
This invoice represents professional services rendered by a licensed Radiologist operating within the jurisdiction of Berlin, Germany. All imaging procedures were conducted in strict adherence to the German Radiation Protection Act (Strahlenschutzgesetz) and the guidelines of the German Röntgen Society (DRG). The Berlin Advanced Radiology Center maintains full liability insurance for medical malpractice and professional indemnity.
Data processing is conducted in compliance with the General Data Protection Regulation (GDPR) and the German Federal Data Protection Act (BDSG). Patient data is anonymized where possible for billing purposes.
If you have any questions regarding this invoice or the radiological findings, please contact our billing department or the attending Radiologist directly.
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