Verzögerte Abrechnung durch Versicherungsprüfung
Definition
Laboratories bill via EBM scale after verifying GKV coverage; delays in eligibility checks lead to unbilled services and extended payment cycles.
Key Findings
- Financial Impact: 20-40 hours/month per lab on manual verification; 2-5% revenue leakage from delayed billing
- Frequency: Per quarter for up to 6,000 cases with tiered fees
- Root Cause: Manual processing of insurance eligibility without digital integration
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Medical and Diagnostic Laboratories.
Affected Stakeholders
Laboratory physicians, Billing staff, Verwaltung
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Evidence Sources:
Related Business Risks
Verpasste Erstattungen bei Eligibility-Fehlern
Kapazitätsverlust durch manuelle Prüfungen
Bußgelder bei Qualitätsmängeln in der Verifikation
IVDR-Verstöße in Diagnostiklabors
Verzögerte Abrechnung durch ePA-Integration
EBM-Abrechnungs-Kürzungen und Ablehnungen
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