Flyer application support
6 Relevant modules from application to opposition Applications to the PKV In private health insurance, too, applications now represent an important barrier that has to be overcome in order to obtain reimbursement for one's products, and please do so at an adequate price. The criteria and parameters of applications in private health insurance differ fundamentally from the corresponding applications in statutory health insurance, because in this sector the Insurance Contract Act (VVG) and not the Social Code Book V applies. Applications can be submitted both to the individual PKV companies and to the PKV associa- tion. For applications in the inpatient sector, the corresponding application procedure of the GKV often applies, sometimes with modifications, because the PKV has joined the GKV - DRG system in the hospital sector. With regard to formal requirements, deadlines and evaluation processes, everything is much less strictly regulated in PKV because one is not bound by the SGB V. Examination of the Chances of success Application Strategy Formulation The request Involvement Professional societies Dissemination The application Monitoring the Evaluation Stakeholder Integration Contradiction Argumentation Deliverables for clients EPC HealthCare supports the application process at all stages. The essential sections are: Reviewing the application's chances of success. Formulation of the application strategy and the core argumentation as well as the com- pilation of the complete application. Involvement and coordination of the application with relevant professional societies. Dissemination of the proposal to relevant additional interested proposers to increase relevance. Monitoring of the processing and decision - making process in the relevant committees and institutions. Accompanying content - related stakeholder management to support the decision - making process. Development of an opposition argumentation in case of a negative application decision.
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