Voluntary health insurance
Insured patients: invoice, registry and payment in one system.
Anamnez ties your insurer contract, the patient's policy and the guarantee letter straight to the invoice. When the month ends, each insurer's registry is ready, and the insurer's transfer is reconciled line by line.
Insurers and their tariffs
You add every insurer you have a contract with — name, contract number and code. For the services in your catalog you set that insurer's tariff; where there is none, the clinic's own price applies.
- Only the owner changes insurers and tariffs
- Flag the insurers that pay only against a guarantee letter
- An insurer whose contract ended is archived; past invoices stay as they were
Policies and guarantee letters
The front desk records the patient's policy: number, the insurer's coverage percentage, a fixed amount the patient pays on each invoice, and validity dates. A guarantee letter is recorded with its number, approved amount, validity and, optionally, the services it covers; the system keeps track of what is left on it.
Two payers on one invoice
On an insured invoice, services are priced at the insurer's tariff and every line shows the insurer's share and the patient's share separately. The cash desk collects only the patient's part. When the invoice is issued, the system checks that a required letter is present, valid today, not cancelled, and that the insurer's share does not exceed what the letter has left.
- Insurer, policy and letter details are frozen on the invoice — an edited policy never rewrites a past bill
- Every insured line of an issued invoice becomes its own claim against the insurer
A monthly registry in Excel
Once a month is over, the owner previews each insurer's registry and then closes it. The registry downloads as an Excel file: patient, date of birth, policy and letter numbers, visit date, ICD-10 diagnosis, service, tariff and amount. A closed month cannot change.
Insurer payments and rejections
When the insurer transfers money, you record it against the registry — the accepted and rejected part of each line. A rejected part is either passed on to the patient or written off by the clinic. Accepted money shows up in the finance report and doctor commissions exactly like money taken at the desk.
The owner's insurance overview
What each insurer owes you, which months have not been put in a registry yet, and the status of every registry — closed or paid — on one screen.
Frequently asked questions
Is the registry sent to the insurer's system automatically?
No. Anamnez produces the registry as an Excel file, and you send it to the insurer yourself. There is no direct integration with insurers' systems.
If the diagnosis is written after the invoice, will it be in the registry?
Yes. ICD-10 codes are taken when the registry is closed, not when the invoice is issued — so a diagnosis the doctor adds later still makes it into the registry.
What happens when the insurer rejects a service?
When you record the payment, you enter the rejected amount on that line and decide: the patient pays it, or the clinic writes it off. An amount passed to the patient is added to what they owe on that invoice.
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