🇩🇪Germany

Unabrechnete Krankenkassen-Leistungen

1 verified sources

Definition

Subsidies only for >6 dioptres or astigmatism >4 dioptres; opticians bill directly but risk denials if documentation incomplete, leading to lost income on patient copays.

Key Findings

  • Financial Impact: €100-300 pro verpasster Subvention pro Patient; 2-5% Umsatzverlust
  • Frequency: Pro ungültigem oder verzögertem Claim
  • Root Cause: Manuelle Prüfung von Rezepten und Dioptrien-Werten

Why This Matters

This pain point represents a significant opportunity for B2B solutions targeting Optometrists.

Affected Stakeholders

Optiker, Sprechstundenhilfe

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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

Verzögerte Krankenkassen-Abrechnungen

20-40 hours/month per practice on follow-ups; 30-60 Tage Zahlungsverzug

Administrative Engpässe bei Claim-Follow-up

10-20 Stunden/Woche idle time; €500-1.000 monatlicher Opportunitätsverlust

GoBD-Verstöße bei manueller Abrechnung

€5.000-50.000 pro GoBD-Verstoß; 20-40 Stunden/Audit-Vorbereitung

Manuelle Nachbestellzeiten

5-10% lost sales revenue due to stockouts (€5,000-€20,000 annually)

Kapazitätsverlust durch manuelles Inventarmanagement

20-40 Stunden/Monat pro Praxis; 2-5% Umsatzverlust durch ausfallende Verkäufe

Umsatzverlust durch Inventarfehler bei Contact Linsen

2-5% Inventarwert/Jahr als Shrinkage; €5.000-10.000 pro Praxis

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