Tariff 590: Health Insurance Receipts for Therapists in Switzerland
What this is about
Filling in Tariff 590 reimbursement receipts by hand – looking up the tariff code, converting your hourly rate into 5-minute units, entering your ZSR number – costs you office time after every treatment.
GrandTotal takes care of it: you write your invoice as usual, and GrandTotal automatically attaches the reimbursement receipt when sending by email. Your patients forward it directly to their insurance.
One-time setup
You set up three things exactly once:
- Your details: ZSR number, GLN, registry (e.g. EMR) and canton in the Tariff 590 plugin settings.
- Your methods: create each method as an item in the catalog – with the tariff code as the item number and your price per hour.
- Your patients: in the contact, choose "Tariff 590" under "E-Invoice". GrandTotal then shows the required fields: date of birth, gender and AHV number.
In the contact, choose "Tariff 590" under "E-Invoice" – the button next to it opens the settings.
ZSR number, GLN, registry and canton are entered a single time.
What your catalog looks like
An example for a practice with three methods:
| Item | Item number (= tariff code) | Price per hour |
|---|---|---|
| Acupuncture | 1004 | CHF 132.– |
| Classic massage | 1062 | CHF 120.– |
| Foot reflexology | 1052 | CHF 120.– |
Invoice as always
When entering a line item, just type the beginning of the method name – GrandTotal suggests the item from your catalog and fills in price and tariff code automatically. The code is visible right on the line item and can be adjusted if needed.
The quantity is the treatment time in hours: 1 for one hour, 0.5 for half an hour. GrandTotal converts it into the 5-minute units for the receipt – you never divide by 12 yourself.
Reports, surcharges and material
Not everything is billed by time: for reports to the insurance (codes 1253/1254), night and emergency surcharges (1251/1252), travel compensation for house calls (1256) and material (1255), the tariff defines flat rates.
GrandTotal recognizes these codes automatically and keeps the quantity as entered – without converting to 5-minute units.
What the insurance receives
Your patient receives the invoice as usual as a PDF by email – the electronic Tariff 590 receipt in the standard format of Swiss healthcare (Forum Datenaustausch) is attached to the email as well. It contains everything the insurance needs for reimbursement: your ZSR number, the patient details, and each session with date, tariff code, units and amount.
At a glance
Tariff code = item number
Stored once in the catalog, the code comes along with every autocomplete suggestion.
Quantity 1 = one hour
GrandTotal converts to 5-minute units automatically.
Flat rates detected automatically
Reports, surcharges and material (codes 1251–1256) stay per piece.
Receipt always included
The electronic receipt is attached automatically when sending by email.
ZSR & registry in one place
Your registration details are entered a single time in the plugin settings.