Overview: The Recipe
Header Section: Patient Data
① Health Insurance Provider / Payer
Enter name of health insurance company
For workers' comp cases: Name of workers' compensation board
For private patients: "Private" or name of private insurance
② Last Name, First Name of Insured
Patient's full name
For different billing recipient → see field ⑮
③ Date of Birth
Format: DD.MM.YYYY
Important for age group classification
④ Payer ID and Insurance Number
9-digit insurance provider number (IK number)
10-digit insurance number
Usually transferred from health insurance card
⑤ Status
Insurance status indicator
Automatically transferred from card
⑥ Practice ID Number
9-digit BSNR of medical practice
Identifies the prescribing practice
⑦ Doctor ID Number
Lifetime doctor number (LANR)
9-digit, identifies prescribing physician
⑧ Date
Issue date of prescription
IMPORTANT: All deadlines start from this date!
Main Section: Prescription Data
⑨ Prescription According to Catalog Requirements
Check this box! This is the standard case for insurance prescriptions.
⑩ BVG Indicator
Only check for:
Federal Supply Act cases
War victim benefits
Very rarely used
⑪ Accident
Check if:
Work accident → also enter "Work accident"
Accident/accident consequences → enter "Accident"
Always check for workers' comp cases!
⑫ Remedies According to Catalog Requirements
The heart of the prescription! Doctor enters here:
Diagnosis Group + Primary Symptoms:
e.g., "WS2a" = Spine, specific symptoms
e.g., "EX3b" = Extremity, certain complaints
Remedy:
Exact description or abbreviation
Number of prescriptions
Examples:
"6x PT" = 6 units physical therapy
"6x MT" = 6 units manual therapy
"6x MLD-30" = 6x lymph drainage at 30 minutes
Supplementary Remedies (optional):
e.g., "Heat therapy"
e.g., "Electrotherapy"
Prescribed in addition to main therapy
⑬ Therapy Report
Check if:
Doctor wants report from therapist
Common for long-term treatments
Therapist informs doctor about treatment progress
⑭ Urgent Treatment Need
Attention - shortened deadlines!
If checked: Start within 14 days (instead of 28)
Only for medical necessity
⑮ Home Visit
Check if:
Patient cannot come to practice
Medically justified (e.g., bedridden)
Increases costs
Diagnosis and Additional Information
⑯ ICD-10 Code (Diagnosis in Plain Text)
Required field! Options:
ICD-10 code (e.g., "M54.2" for neck pain)
Or: Diagnosis in plain text
Both together also possible
Must match diagnosis group!
⑰ Treatment-Relevant Diagnosis(es)
Additional important information:
Comorbidities
Special notes for therapists
e.g., "Diabetes", "Pacemaker", "Post-surgery"
⑱ Diagnosis Group / Primary Symptoms
If not already in field ⑫:
Diagnosis group (WS, EX, ZN, etc.)
Primary symptoms (a, b, c, etc.)
⑲ Specification of Therapy Goals
Optional but helpful:
"Pain reduction"
"Improved mobility"
"Gait training"
Helps therapist plan treatment
Prescription Details
⑳ Initial Prescription / Follow-up / Long-term Prescription
To be entered in the free-text field: “Therapy goals / further medical findings and notes”
Initial prescription: First treatment for this diagnosis
Follow-up prescription: Continuation after initial prescription
Long-term prescription: For chronic conditions
㉑ Prescription Outside Standard Care
To be entered in the free-text field: “Therapy goals / further medical findings and notes”
More treatments than normally allowed
Requires medical justification!
Enter justification in separate field
㉒ Treatment Frequency
Doctor's recommendation:
"1-2x weekly"
"2-3x weekly"
"daily"
Guidance for therapist and patient
㉓ Justification for Prescriptions Outside Standard Care
Required for outside standard care! To be entered in the free-text field: “Therapy goals / further medical findings and notes”
Explain medical necessity
e.g., "Complex post-operative situation"
e.g., "Treatment-resistant chronic pain"
Signature and Stamp
㉔ Signature of Contract Physician
Essential!
Handwritten signature
Prescription invalid without signature
Must be from prescribing doctor personally
㉕ Stamp / IK of Service Provider
Filled out by therapist:
Physical therapy practice stamp
Practice IK number
Confirms acceptance of prescription
Completion Notes
For Doctors:
All required fields must be completed
Diagnosis and diagnosis group must match
Always provide justification for outside standard care
Don't forget signature!
Corrections only with stamp and new signature
For Patients - Check These:
Are your personal details correct?
Is the issue date entered?
Are remedies and quantity noted?
Has the doctor signed?
For urgent cases: Remember 14-day deadline!
For Therapists - Check Before Treatment:
All required fields completed?
Deadlines met?
Prescription plausible for diagnosis?
For uncertainties: Consult with doctor
Practice stamp after first treatment
Avoid Common Mistakes
Mistake → Correct
Missing signature → Always get signature
No diagnosis → ICD-10 or plain text required
Wrong diagnosis group → Must match diagnosis
Quantity forgotten → e.g., "6x" before remedy
Date missing → Issue date required
Outside standard care without justification → Medical justification required
Practical Tips
Time Management:
Check prescription immediately upon receipt
Schedule first appointment within deadline
For problems: Contact doctor immediately
Communication:
Address uncertainties directly
Discuss therapy goals with doctor and therapist
If condition worsens: Notify doctor
Documentation:
Keep copy of prescription for your records
Note appointments and treatments
For workers' comp cases: Collect all documents
For Questions and Problems
Prescription unclear or incorrect? → Contact doctor's office
Can't get appointment in time? → Try another practice or inform doctor
Unsure about therapist choice? → Ask insurance for recommendations
Problems with cost coverage? → Contact insurance before starting treatment
