D-Flow ASV
D-Flow ASV supports billing for German specialised outpatient care (Ambulante Spezialfachärztliche Versorgung, ASV). It connects service capture and data import with checks of team eligibility, fee schedule codes and case information before quarterly billing.
Overview
Validate cases before billing
ASV teams and staff at Associations of Statutory Health Insurance Physicians (KVen) work with a shared case status and traceable history. Validation results are available during processing so that flagged information can be clarified before billing. The solution is in routine use at a KV.
Workflow
From service capture to quarterly billing
- Enter or import services: ASV teams enter fee schedule codes and diagnoses in the browser. Bulk import is available for larger data volumes, for example from laboratories.
- Check team eligibility: The connection to the ASV service centre supplies master data on teams, members, indications and validity periods.
- Validate appendix and case data: Fee schedule codes are checked against the appendix for the relevant indication. Further rules check diagnoses, duplicate entries and KV-specific requirements.
- Prepare quarterly billing: Validated cases are consolidated for quarterly billing. Imported data undergoes the same checks as manually entered services.
- Handle responses: Departments clarify rejected claims with providers and can correct, cancel or resubmit cases.
Features
Validation within the workflow
Teams and indications
Eligibility is checked using data from the ASV service centre, including its validity period.
Appendix validation
Fee schedule codes are checked against the relevant ASV indication, with issues flagged before billing.
Bulk data import
Large billing datasets pass through the shared validation process and become available for case processing.
Configurable rules
Departments maintain validation rules, appendix updates and KV-specific requirements without programming.
Collaboration
Track cases and responses
KV staff can view providers, ASV teams and their eligibility. They review cases, handle queries and follow up on rejected claims. The case history records processing steps with timestamps.
Providers can view validation results as well as case and payment status. They can download their own statistics on cases, services and payments. We work with your KV to define which data sources and billing systems to integrate.
Contact
ASV billing with D-Flow
We can demonstrate data entry, validation and case processing, and discuss your requirements for data import and integration.