Checking your medical bills

By carefully checking each medical bill that you receive, as a patient, can help to avoid unnecessary costs – and
have a positive effect on your premiums. CSS cannot know exactly what treatment you received. You are the
only one who is able to check certain items on your bill and notify CSS of any irregularities, e.g. the reason for
treatment is incorrect. Many thanks from CSS for checking the points set out below.

TP-Rechnung Release 4.3G M

Dokument 101
123 1159948372 04.10.2006
456789 03.01.2014 09:52:51
09:52:51 Seite 1
Rechnungs- EAN-Nr. 7601234567890 Dr. med.
7601001368583 med. A. Muster
Paul Muster• Beispielweg • 4600
· Beispielweg Olten
· 1234 Mustern
steller
ZSR-Nr. x999999
K951400 Tel. 062
Tel: 052123
74245
0967
45 Fax 062
Fax:123
05245742
68 09 49E-Mail: E-mail: info@praxinova.ch
7601234567890 Dr. med.
Leistungs-
erbringer
EAN-Nr.
ZSR-Nr./NIF-Nr.
7601001368583
x999999
K951400
med. A.
Tel. 062
Tel: 052123
Muster
Paul
74245
Muster• Beispielweg
0967
45 Fax 062
Fax:123
• 4600
· Beispielweg
05245742
Olten
· 1234 Mustern
B
68 09 49E-Mail: E-mail: info@praxinova.ch
Patient Name MUSTER EAN-Nr. 7601003000078
Vorname Hans
Max
Strasse Hauptstrasse 88 A
Stadtstrasse
PLZ 9988
7000
Ort Musterort
CHUR Hans
SUVAMuster
Geburtsdatum 01.12.1960
01.01.1950 Stadtstrasse
Fluhmattstrasse 88 1
Geschlecht M 9988
6002 Musterort
Luzern
Unfalldatum 06.08.2006
Unfall-/Verfüg.Nr. 21.23424.97.6
AHV-Nr. 12345678901
Versicherten-Nr. 12345678
321
Betriebs-Nr./-Name Migros · Grossi Schanz 10 · 8260 Stein am Rhein 2
Kanton LU
TG 1234567801234 Muster Maria
Rechnungskopie Nein x999999 9988 Musterort
Vergütungsart TG
TP
KVG
UVG
Gesetz
Behandlungsgrund Krankheit
Unfall C
Behandlung 12.03.2013
06.08.2006 - 09.08.2006 Rechnungsnr. Xyz-666-11
429
Erbringungsort Praxis Rechnungs-/Mahndatum 03.01.2014
04.10.2006
Auftraggeber EAN-Nr./ZSR-Nr. / Dr. med. Peter Muster · 7180 MUSTER
Diagnose XYZ; X.91 · Beinbruch
EAN-Liste 1/7601001368583
Bemerkung

Datum Tarif Tarifziffer Bezugsziffer Si St Anzahl TP AL/Preis f AL TPW AL TP TL f TL TPW TL A V P M Betrag

Konsultation, erste 5 Min. (Grundkonsultation)
Datum
07.08.2006 Tarif001Tarifziffer
00.0010 Bezugsziffer
1 1.00 Si ST9.57
Anzahl
1.00TP AL/ 8.19 TP
0.92 f AL TPW 1.00 f TL TPW
0.92 1 1A0 V0 P M Betrag
16.34
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag) Preis AL TL TL
 07.08.2006 4000011234567
12.03.2013 00.0020 00.0010 1 2.00 1 9.57 1.00
1.00 0.92
8.55 8.19 1.00
1.00 0.92 1 110 20 1 2 32.68
8.55
D
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
Medikament Filmtabl 1mg m Farbzusatz 30 Stk
 07.08.2006 001 00.0030 00.0010 1 1.00 4.78 1.00 0.92 4.10 1.00 0.92 1 1 0 0 8.17
12.03.2013 001 00.0010 1
Konsultation, erste 5 Min. (Grundkonsultation) 1.00 9.57 1.00 0.82 8.19 1.00 0.82 1 2 1 0 14.57
 08.08.2006 001Konsultation,
00.0010 erste 5 Min. 1(Grundkonsultation)
1.00 9.57 1.00 0.92 8.19 1.00 0.92 1 1 0 0 16.34
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag)
08.08.2006 00100100.0020
12.03.2013 00.0020 00.0010 00.0010 1 2.00 1 9.57 4.00
1.00 0.921.00 0.82
9.57 8.19 8.19
1.00 1.00
0.920.82
1 110 20 1 0 32.68
63.23
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
08.08.2006 001+ Konsultation, jede weiteren
00.0030 00.0010 1 5 Min. 1.00 4.78 1.00 E 0.92 4.10 1.00 0.92 1 1 0 0 8.17
(Konsultationszuschlag)
Konsultation, erste 5 Min. (Grundkonsultation)
09.08.2006 00100109.0010
12.03.2013 00.0010 00.0010 1 1.00 1 9.57 1.00
1.00 28.70
0.921.00 0.82
8.19 35.32
1.00 1.00
0.928.20
1 110 20 1 0 16.34
52.49
+ Konsultation, jede weiteren 5 Min. (Konsultationszuschlag)
Untersuchung durch den Facharzt ORL
 09.08.2006 001 00.0020 00.0010 1 2.00 9.57 1.00 0.92 8.19 1.00 0.92 1 1 0 0 32.68
+ Konsultation, letzte 5 Min. (Konsultationszuschlag)
 09.08.2006 001 00.0030 00.0010 1 1.00 4.78 1.00 0.92 4.10 1.00 0.92 1 1 0 0 8.17

A 
Personal
PFL details:
Tarmed AL 92.45 (100.47) Physio 0.00 EMiGel
Rate code + units:
0.00 Übrige 0.00
Is your date of birth
Tarmed TL and address
79.10 (86.01)correct?Labor 0.00 Medi Describes the
0.00 natureKantonal
and quantity of0.00
items that
Gesamtbetrag/CHF 171.55 davon PFL 171.55 are being0.00
Anzahlung billed: Fälliger Betrag 171.55
B 
Attending service provider: • Check the medication item: are the pack size
MWSt.Nr. 123456
Is the service provider who treated you stated correctly? and the number of packs you received correct?
Code Satz Betrag MWSt • Check the length of treatment: Does the time
C  0 0.00 171.56 0.00
Reason for treatment: given correspond roughly to the total duration
Total 171.55 0.00
What prompted the treatment: illness, accident, of your treatment?
maternity or preventive health measures? • Check the aids item: Were you given a whole
pack, or just one bandage?
D Date:
Is the date of treatment correct? 

>
 How to check your bill

1. If you have not received a copy of the invoice, request one from your doctor or
hospital, or from CSS Insurance directly by calling 0844 277 277. The service provider
is required by law to provide you with a copy.

2. Check through the points A – E that are described on the front of this page.

3. If anything is incorrect or unclear, please do not hesitate to call the CSS Contact Center
on 0844 277 277, or the service provider, to request a corrected bill.

The refund process

Send the bill to the following address (do not enclose a payment slip):
CSS Insurance, Service-Center, P.O. Box 2550, 6002 Lucerne

It’s even faster with myCSS or the myCSS app: simply scan your invoices and send
them in directly online. Register at www.css.ch/mycss

Note on fixed sums for emergencies

A fixed emergency sum may be requested only if the specialist deals with or
seeks out the patient immediately. The flat-rate fee may not be claimed if you had
to wait in the waiting room or at the hospital‘s emergency unit.

Other service providers

Bills from other service providers such as physiotherapists may be set out differently.
Whatever the format, you should always check the following points:

Inpatient treatment: Personal details, attending service provider, reason for

treatment, date
Pharmacies: Medication, pack size, number of packs, reason for treatment
Physiotherapy: Personal details, reason for treatment, date, number of sessions
Alternative medicine: Type of therapy, duration, service provider, reason for treatment
Spitex/nursing/midwife: Duration of care, services billed, dates services provided,
nursing supplies, medication
06652e-01.18-pdf