- Vertical · Health Tech
Professional review of reduced reimbursements.
Erstattungsheld reviews reduced reimbursements from private health insurers and public-sector aid offices and produces professionally grounded response letters from them. Practices, factoring partners and private patients receive a solid basis for objecting to the reduction in a targeted way, without having to work through the case themselves.
- The Challenge
Reduced reimbursements tie up exactly the specialists who are needed elsewhere.
A private health insurer or aid office reduces the dental invoice, often without a comprehensible justification. For the practice, that means follow-up queries, written statements and time that really belongs to the patients. In factoring, rejections delay the realisation of outstanding receivables and tie up highly specialised resources.
The result: longer receivable cycles, tied-up capital, and unsettled patients who don’t know whether the reduction is justified.
- Our Approach
AI-supported analysis, professionally reviewed by experienced billing specialists. Erstattungsheld combines the two into a response letter that holds up professionally.
The technology analyses the invoice and the reimbursement notice, identifies the relevant items and speeds up processing. For complex tariff conditions or questions of fee law, experienced specialists review the case and assess it professionally.
Document analysis
The invoice and reimbursement notice are evaluated in relation to the specific case.
Review of the reduction justification
Erstattungsheld checks which item was reduced, how the insurer justifies it, and what speaks in favour of a renewed review.
Individual response letter
Not a template letter, but a tailored reply, checked against GOÄ/GOZ and current billing standards.
Ready to forward directly
The letter is structured so that it can be sent to the insurer or aid office without further effort.
White-label integration
For factoring partners, processing can be integrated into existing systems, under their own brand on request.
- Proof Points
What changes in day-to-day operations.
- Response letter within 48 hours of receiving complete documents.
- Noticeable relief for practices and specialist departments in a time-intensive process.
- Professionally reviewed, individual letters instead of improvised replies.
- Scalable processing of rising case numbers, without a proportional increase in staff.
- Technological Foundation
Erstattungsheld benefits from the shared infrastructure of LABS.ruhr GmbH.
As a vertical from the TCCG model (technology-driven product companies), Erstattungsheld builds on the AI modules, automation components and API architectures of the LABS.ruhr platform. In the healthcare and insurance environment in particular, data protection and security matter especially: development takes place in an ISO 27001-certified (DEKRA), GDPR-compliant environment with private AI instances.
Would you like to get to know Erstattungsheld?
More information about the platform at www.erstattungsheld.de.
For conversations about the TKKG model or co-investment options: Get in touch now.
