Pension insurance, inquiries

Synonym(s)

Enquiries from pension insurance companies; Retention insurance carrier

Definition
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Inquiries of the pension insurance carriers must be answered (§100 SGB X). For the services of the physician as an "expert witness", the physician is entitled to remuneration according to the Judicial Remuneration and Compensation Act (JV EG). The JV EG also applies to inquiries of the pension insurance and their working groups (§ 21 AbS.3 SGB X). The mere ticking of an expert question on a form does not require a " short expert statement " according to the JVEG (decision of the BVG).

General information
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Remark: in principle, the physician should inform the ILC that he will prepare the requested report or opinion. He should ask for a written promise of costs according to the JVEG.

The following items of Annex two of the JV EG are possible:

Zif. 200 (issue of a medical report or written information without further expert opinion) Fee 21 €
no. 201 (the service of the type mentioned in no. 200 is exceptionally extensive) Fee 44 €
Zif. 202 (certificate of a medical report Schmidt short expert opinion requested by the consulting body or from the sheet report, if the questions are limited to history, information and findings and require only a short expert opinion) Fee: 38 €
tariff 203 (the service mentioned in number 202 is exceptionally extensive) Fee: 75 €.

Note(s)
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Example of a request for cost commitment from the pension insurance company for the requirements of the findings report (or the expert opinion) for Mr. / Mrs. (name, first name, date of birth of the patient).

Dear Sir or Madam,

your request for a report (an expert opinion) on the above-mentioned patient (patient I have received. I will prepare the desired report (the requested expert opinion).

According to § 21 Abs. 3 SGB X such a report (such an expert opinion) will be compensated according to the Justizvergütung-und - entschädigungsgesetz tz (JVEG) with the following position (e.g. Zif. 200: Issue of a finding certificate or giving a written information without further expert opinion). Please therefore first send me a corresponding Treatment Guarantee.

With kind regards