{"id":50452,"date":"2026-08-30T15:39:03","date_gmt":"2026-08-30T15:39:03","guid":{"rendered":"https:\/\/parashift.ai\/?page_id=50452"},"modified":"2026-08-30T16:06:02","modified_gmt":"2026-08-30T16:06:02","slug":"leistungsabrechnung","status":"publish","type":"page","link":"https:\/\/parashift.ai\/de\/versicherungen\/leistungsabrechnung\/","title":{"rendered":"Leistungsabrechnung Kranken &#038; Unfall"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"50452\" class=\"elementor elementor-50452\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-pvsr001 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"pvsr001\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container 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.note{font-size:13px;color:rgba(255,255,255,.75);}\n<\/style>\n\n<div class=\"psvr-scope\">\n\n<div class=\"herowrap\">\n<div class=\"pagehead\">\n  <div class=\"wrap\">\n    <div class=\"pagehead-grid\">\n    <div>\n    <div class=\"crumb\"><a href=\"\/de\/\">Parashift<\/a><span class=\"sep\">\/<\/span><a href=\"\/de\/versicherungen\/\">Versicherungen<\/a><span class=\"sep\">\/<\/span><span class=\"here\">Leistungsabrechnung Kranken &amp; Unfall<\/span><\/div>\n    <span class=\"eyebrow\">Versicherungen \u00b7 Use-Case<\/span>\n    <h1>Leistungsabrechnung Kranken- und Unfallversicherung.<\/h1>\n    <p class=\"lede\">Heilkosten- und Unfallrechnungen erreichen Kranken- und Unfallversicherer als Arztrechnung, SwissDRG-Fallabrechnung, UVG-Unfallmeldung oder MTF-XML-Datei. Parashift liest Diagnose, Tarifposition, Behandlungsdatum und Rechnungsbetrag strukturiert aus, gleicht sie automatisch gegen die hinterlegten Tarife ab und \u00fcbergibt sie gepr\u00fcft an Ihr Kernsystem.<\/p>\n    <div class=\"ctas\">\n      <a class=\"btn\" href=\"\/de\/demo\/\">Demo buchen<\/a>\n      <a class=\"btn ghost\" href=\"\/de\/versicherungen\/\">Parashift f\u00fcr Versicherungen<\/a>\n    <\/div>\n    <div class=\"microproof\">\n      <span><i class=\"dot\"><\/i> VAG \u00b7 FINMA Outsourcing-konform<\/span>\n      <span><i class=\"dot\"><\/i> DORA \u00b7 EU AI Act Art. 6 Abs. 3<\/span>\n      <span><i class=\"dot\"><\/i> C5 \u00b7 SOC 2 \u00b7 ISO 27001<\/span>\n    <\/div>\n    <\/div>\n    <div class=\"extractcard\">\n      <div class=\"ec-top\"><span class=\"ec-id\">Heilkostenrechnung \u00b7 ambulant<\/span><span class=\"ec-pill ok\">Tarif gepr\u00fcft<\/span><\/div>\n      <div class=\"ec-body\">\n        <div class=\"ec-thumb\">\n          <svg width=\"60\" height=\"76\" viewBox=\"0 0 60 76\" fill=\"none\">\n            <path d=\"M6 2h32l14 14v58a2 2 0 0 1-2 2H6a2 2 0 0 1-2-2V4a2 2 0 0 1 2-2z\" fill=\"var(--bg-alt)\" stroke=\"var(--line)\" stroke-width=\"1.5\"\/>\n            <path d=\"M38 2v12a2 2 0 0 0 2 2h12\" fill=\"none\" stroke=\"var(--line)\" stroke-width=\"1.5\"\/>\n            <line x1=\"12\" y1=\"32\" x2=\"42\" y2=\"32\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"41\" x2=\"42\" y2=\"41\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"50\" x2=\"30\" y2=\"50\" stroke=\"#c7d0e0\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n            <line x1=\"12\" y1=\"60\" x2=\"36\" y2=\"60\" stroke=\"#1f9d6f\" stroke-width=\"2.5\" stroke-linecap=\"round\"\/>\n          <\/svg>\n        <\/div>\n        <div class=\"ec-fields\">\n          <div class=\"ec-row\"><span>Versicherte Person<\/span><b>Fankhauser, Nadine<\/b><\/div>\n          <div class=\"ec-row\"><span>Diagnose (ICD-10)<\/span><b>S82.2 \u00b7 Tibiaschaftfraktur<\/b><\/div>\n          <div class=\"ec-row\"><span>Tarifposition<\/span><b>17.0210<\/b><\/div>\n          <div class=\"ec-row\"><span>Rechnungsbetrag<\/span><b>CHF 1'240.50<\/b><\/div>\n        <\/div>\n      <\/div>\n      <div class=\"ec-foot\">Tarif gepr\u00fcft, Diagnose plausibilisiert, bereit zur Auszahlung<\/div>\n    <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<section class=\"trustband\">\n  <div class=\"wrap\">\n    <div class=\"trustlogos\">\n      <span class=\"logobox lg\"><span class=\"axa-mark\" role=\"img\" aria-label=\"AXA\"><\/span><\/span>\n      <span class=\"logobox lg\"><span class=\"swica-mark\" role=\"img\" aria-label=\"SWICA\"><\/span><\/span>\n      <span class=\"logobox sm\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2025\/11\/pax_a.avif\" alt=\"Pax\"><\/span>\n      <span class=\"logobox\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2026\/08\/css-versicherung-logo.svg\" alt=\"CSS Versicherung\"><\/span>\n      <span class=\"logobox\"><img decoding=\"async\" src=\"https:\/\/parashift.ai\/wp-content\/uploads\/2025\/11\/orion_wobg.avif\" alt=\"Orion\"><\/span>\n    <\/div>\n  <\/div>\n<\/section>\n<\/div>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Der Prozess heute<\/span>\n      <h2>Ein Dutzend Tarifsysteme, ein Pr\u00fcfprozess pro Rechnung.<\/h2>\n    <\/div>\n    <p class=\"prozess-lead\">Heilkosten- und Unfallrechnungen treffen bei Kranken- und Unfallversicherern in v\u00f6llig unterschiedlichen Formaten ein: Rechnungen niedergelassener \u00c4rzte, SwissDRG-Fallpauschalen der Spit\u00e4ler, UVG-Rechnungen nach Suva-Tarif, dazu Apotheken-, Physio- und Therapierechnungen sowie elektronische MTF-XML-Dateien aus dem Datenaustausch. <strong>Jede Rechnung muss vor der Auszahlung gegen Diagnose, Tarifposition und Behandlungsplausibilit\u00e4t gepr\u00fcft werden<\/strong> \u2013 heute vielfach durch manuelle Ersterfassung im Kernsystem, was bei hohem Rechnungsvolumen zum Engpass im Leistungsteam wird und R\u00fcckfragen an Leistungserbringer verz\u00f6gert.<\/p>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Dokumentliste<\/span>\n      <h2>Was Parashift in jeder Abrechnung erkennt.<\/h2>\n      <p>Unabh\u00e4ngig vom Tarifsystem werden die leistungsrelevanten Felder strukturiert erfasst und zur Tarifpr\u00fcfung bereitgestellt.<\/p>\n    <\/div>\n    <div class=\"doclist\">\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"4\" y=\"3\" width=\"16\" height=\"18\" rx=\"1.5\"\/><path d=\"M8 8h8M8 12h8M8 16h5\"\/><\/svg><\/span>Heilkostenrechnung, ambulant<\/h4>\n        <div class=\"fields\"><span>Diagnose (ICD-10)<\/span><span>Tarifposition<\/span><span>Behandlungsdatum<\/span><span>Rechnungsbetrag<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"4\" width=\"18\" height=\"16\" rx=\"2\"\/><path d=\"M3 8h18\"\/><path d=\"M8 4v4\"\/><\/svg><\/span>Spitalrechnung SwissDRG (station\u00e4r)<\/h4>\n        <div class=\"fields\"><span>Fallnummer<\/span><span>DRG-Code<\/span><span>Aufenthaltsdauer<\/span><span>Rechnungsbetrag<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect x=\"3\" y=\"6\" width=\"18\" height=\"13\" rx=\"1.5\"\/><path d=\"M3 10h18\"\/><path d=\"M7 14h4\"\/><\/svg><\/span>UVG-Unfallmeldung &amp; -rechnung<\/h4>\n        <div class=\"fields\"><span>Unfalldatum<\/span><span>Suva-Tarifposition<\/span><span>Versicherten-Nr.<\/span><span>Rechnungsbetrag<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"9\"\/><path d=\"M8 12h8M12 8v8\"\/><\/svg><\/span>Apotheken- &amp; Medikamentenrechnung<\/h4>\n        <div class=\"fields\"><span>Pharmacode<\/span><span>Menge<\/span><span>Einzelpreis<\/span><span>Rezeptreferenz<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"9\"\/><path d=\"M12 7v6l4 2\"\/><\/svg><\/span>Physio- &amp; Therapierechnung<\/h4>\n        <div class=\"fields\"><span>Sitzungsanzahl<\/span><span>Tarifziffer<\/span><span>Verordnung<\/span><span>Rechnungsbetrag<\/span><\/div>\n      <\/div>\n      <div class=\"doc\">\n        <h4><span class=\"dicon\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.6\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M4 20v-3a4 4 0 0 1 4-4h8a4 4 0 0 1 4 4v3\"\/><circle cx=\"12\" cy=\"7\" r=\"4\"\/><\/svg><\/span>MTF-XML-Rechnung (Datenaustausch)<\/h4>\n        <div class=\"fields\"><span>Rechnungs-ID<\/span><span>GLN Leistungserbringer<\/span><span>Tarifsystem<\/span><span>Betrag<\/span><\/div>\n      <\/div>\n    <\/div>\n    <p style=\"margin-top:22px;font-size:13.5px;color:var(--ink-faint);\">Weitere Belege wie Rechnungen der Chiropraktik oder Ergotherapie werden ebenso zuverl\u00e4ssig erkannt und den passenden Tarifsystemen zugeordnet.<\/p>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Ablauf<\/span>\n      <h2>Von der Erfassung bis zur Auszahlung.<\/h2>\n    <\/div>\n    <div class=\"flow\">\n      <div class=\"step\"><div class=\"n\">01 \u00b7 ERFASSUNG<\/div><h4>Papier, Scan, Portal, MTF-XML<\/h4><p>Heilkosten- und Unfallrechnungen treffen \u00fcber jeden Kanal gleichzeitig ein und werden zentral eingelesen.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">02 \u00b7 EXTRAKTION<\/div><h4>Diagnose, Tarifposition, Betrag<\/h4><p>Dokumenten-KI liest alle leistungsrelevanten Felder strukturiert aus, tarifsystemunabh\u00e4ngig.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">03 \u00b7 TARIFPR\u00dcFUNG<\/div><h4>Tarifwerk, SwissDRG, Suva-Tarif<\/h4><p>Automatischer Abgleich gegen Tarifwerk und Diagnoseplausibilit\u00e4t vor der Freigabe.<\/p><\/div>\n      <div class=\"arrow\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\"><path d=\"M5 12h14M13 6l6 6-6 6\"\/><\/svg><\/div>\n      <div class=\"step\"><div class=\"n\">04 \u00b7 VERARBEITUNG<\/div><h4>Kernsystem &amp; Auszahlung<\/h4><p>Gepr\u00fcfte Abrechnungen fliessen strukturiert ins Kernsystem und zur Auszahlung an den Leistungserbringer.<\/p><\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Zielsysteme<\/span>\n      <h2>Integriert sich in Ihr Leistungs- und Kernsystem.<\/h2>\n      <p>Low-Code-Anbindung \u00fcber dokumentierte REST-APIs, ohne Abl\u00f6sung der bestehenden Infrastruktur.<\/p>\n    <\/div>\n    <div class=\"systems\">\n      <span>Adcubum<\/span><span>Guidewire<\/span><span>SAP<\/span><span>msg.Global<\/span><span>Insiders Solution<\/span><span>Sumex-Tarifpr\u00fcfung<\/span><span>Eigenentwicklungen<\/span>\n    <\/div>\n    <p style=\"margin-top:28px;\" class=\"prozess-lead\"><strong>Compliance:<\/strong><\/p>\n    <div class=\"compliance-line\">\n      <span><i class=\"dot\"><\/i> VAG-Auslagerungsvorgaben (FINMA)<\/span>\n      <span><i class=\"dot\"><\/i> DORA, in Kraft seit 17.01.2025<\/span>\n      <span><i class=\"dot\"><\/i> EU AI Act Art. 6 Abs. 3 (verfahrenstechnische Hilfsaufgabe)<\/span>\n      <span><i class=\"dot\"><\/i> C5 \u00b7 SOC 2 \u00b7 ISO 27001<\/span>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Effekt<\/span>\n      <h2>Was sich f\u00fcr Ihre Leistungsabteilung \u00e4ndert.<\/h2>\n    <\/div>\n    <div class=\"effektband\">\n      <div class=\"effekt\"><div class=\"num\">90%<\/div><p>der Heilkosten- und Unfallrechnungen automatisiert erfasst, SwissDRG und Suva-Tarif inklusive<\/p><\/div>\n      <div class=\"effekt\"><div class=\"num\">3 Tage<\/div><p>bis zum produktiven Piloten in Ihrer Leistungsabteilung<\/p><\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"alt\">\n  <div class=\"wrap\">\n    <div class=\"section-head\">\n      <span class=\"eyebrow\">Erfolgsgeschichte<\/span>\n      <h2>Wie AXA Parashift f\u00fcr die Abrechnung medizinischer Anspr\u00fcche nutzt.<\/h2>\n    <\/div>\n    <div class=\"case\">\n      <h3>AXA Health automatisiert die Verarbeitung medizinischer Abrechnungsdokumente.<\/h3>\n      <p>AXA Health nutzt die IDP-Plattform von Parashift, um verschiedene Arten von medizinischen Abrechnungsdokumenten automatisch zu verarbeiten und so die Bearbeitungszeit und die Betriebskosten zu senken.<\/p>\n      <p>Mit der IDP-Plattform von Parashift integriert AXA Health eine L\u00f6sung, die es erm\u00f6glicht, eine grosse Anzahl von Dokumenten automatisch zu verarbeiten und die Daten zu validieren.<\/p>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section>\n  <div class=\"wrap\">\n    <div class=\"hubcard\">\n      <div>\n        <h3>Ein Use-Case unter vielen f\u00fcr Versicherungen.<\/h3>\n        <p>Schadensbearbeitung Sach &amp; Haftpflicht, Kostengutsprachen und Antrag &amp; Underwriting folgen demselben Prinzip: lesen, pr\u00fcfen, ins Kernsystem \u00fcbergeben.<\/p>\n      <\/div>\n      <a class=\"btn ghost\" href=\"\/de\/versicherungen\/\">Alle Use-Cases f\u00fcr Versicherungen \u2192<\/a>\n    <\/div>\n  <\/div>\n<\/section>\n\n<section class=\"finalcta\">\n  <div class=\"wrap\">\n    <h2>Leistungsabrechnungen automatisiert und revisionssicher verarbeiten.<\/h2>\n    <p>Buchen Sie ein unverbindliches 30-min\u00fctiges Briefing: Wir zeigen Ihnen die Verarbeitung von Heilkosten- und Unfallrechnungen an echten Beispieldokumenten.<\/p>\n    <div class=\"ctas\"><a class=\"btn\" href=\"\/de\/demo\/\">30-Min-Briefing buchen<\/a><\/div>\n    <p class=\"note\">Antwort am selben Werktag \u00b7 kein Verkaufsdruck<\/p>\n  <\/div>\n<\/section>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Parashift\/Versicherungen\/Leistungsabrechnung Kranken &amp; Unfall Versicherungen \u00b7 Use-Case Leistungsabrechnung Kranken- und Unfallversicherung. Heilkosten- und Unfallrechnungen erreichen Kranken- und Unfallversicherer als Arztrechnung, SwissDRG-Fallabrechnung, UVG-Unfallmeldung oder MTF-XML-Datei. Parashift liest Diagnose, Tarifposition, Behandlungsdatum und Rechnungsbetrag strukturiert aus, gleicht sie automatisch gegen die hinterlegten Tarife&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":46119,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"content-type":"","footnotes":""},"class_list":["post-50452","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/pages\/50452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/comments?post=50452"}],"version-history":[{"count":8,"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/pages\/50452\/revisions"}],"predecessor-version":[{"id":50588,"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/pages\/50452\/revisions\/50588"}],"up":[{"embeddable":true,"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/pages\/46119"}],"wp:attachment":[{"href":"https:\/\/parashift.ai\/de\/wp-json\/wp\/v2\/media?parent=50452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}