Tenders Are Invited For Compulsory Social Security Services – Provision Of Billing Services In Accordance With Section 300 Sgb V

Compulsory Social Security Services – Provision Of Billing Services In Accordance With Section 300 Sgb V. Tender For The Provision Of Billing Processing And Billing Verification In The Area Of Pharmacies And Other Bodies In Accordance With Section 300 Sgb V The Subject Of The Procurement Is The Awarding Of Services For Billing Auditing In The Area Of Pharmaceutical Supply In Accordance With Section 300 Sgb V. The Main Service Items Include A) Support In The Creation Of An Individual Test Catalog For Billing Verification For Medicines B) Data Acceptance, Digitization And Preparation Of Billing Data, In Particular • Receipt Of Paper Invoices, Prescription Sheets Including Attachments And Accompanying Notes As Well As All Electronic Prescriptions, Billing, Invoice And Receipt Data. • Subsequent Recording And Digitization Of Physical Invoices That Were Not Transmitted Electronically, • Preparation Of All Data In Accordance With The Specifications Of The Currently Valid Technical Appendices 1, 3, 4, 6 And 7 As Well As Completion With Infrastructure Files - Such As The Abda Article Master, The Lauer Tax, The Doctors Master Directory And The Hkks Insured Person Master Data, C) Support With The Substantive Legal As Well As The Technical Content Billing Audit In Compliance With The Statutory Dispensing Regulations For Medicines And Bandages, Foodstuffs, Valid Medicines And Medical Devices, D) Technical Support In The Event Of Complaints, Retaxations And Objections, E) Support In Filing And Pursuing Recourse As Well As Data Analysis And Archiving As Part Of The Performance Audit In Individual Cases In Accordance With Section 106B Sgb V, F) Processing Of Payment Transactions Approved By The Client, Invoice Payment And Invoice Closing Taking Into Account The Legal Regulations, The Drug Supply Contracts As Well As The Svrv And Srvwv, G) Provision And Operation Of An Online Platform For Communication With The Service Providers, H) Provision Of Standardized Data Deliveries, In Particular For Morbidity-Oriented Risk Structure Compensation, In The Hkks Bitmarck_21C|Ng Cash Register System, For Recourse Purposes (She, Sva) As Well As For Intra-Trade Statistics And Sales Tax Reports In Connection With Foreign Mail-Order Pharmacies, I) Provision Of A Data Extraction Program, J) Archiving And Data Protection-Compliant Destruction Of Billing Data And Other Documents In Compliance With The Relevant Legal Regulations, K) Provision Of Analysis And Work Applications As Well As Maintaining A Reporting System.

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