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TheraNext
Direct insurer billing

Direct §302 Billing – Keep Your Margin, Skip the Middleman

Thousands of allied health practices hand over 2–5 % of their monthly revenue to billing clearinghouses for a task their software can handle directly. TheraNext gives you complete §302 statutory billing with all German health insurers – no intermediary, no waiting, no variable fees. Your earnings stay yours, and you always know exactly where every claim stands.

§302 Direktabrechnung – Gebührenvergleich Abrechnungszentrum vs. TheraNext Was bleibt wirklich bei Ihnen? Beispiel: 10.000 € Monatsumsatz Mit Abrechnungszentrum Gebühr 2–5 % – 500 € weg Ihr Anteil 9.500 € + Warte­zeiten TheraNext Direktabrechnung Nur monatl. Software-Flat Voller Ertrag 10.000 € direkt nach Zahlung + 500 € / Monat mehr Hochrechnung: 500 € × 12 = 6.000 € Ersparnis/Jahr — ohne Risiko, ohne Bindung

What direct §302 billing actually involves

Section 302 SGB V governs how allied health providers invoice statutory health insurers. TheraNext generates the required data files, transmits them directly to the insurers' data centres, and processes the responses – fully automatically, inside your software. No media breaks, no outsourcing.

  • §302-compliant billing files generated straight from TheraNext
  • Automatic submission and per-insurer status tracking
  • Error codes and required corrections surfaced directly in the interface

How much you save every month

On a monthly turnover of €10,000 and a typical clearinghouse rate of 2–5 %, up to €500 per month – €6,000 a year – flows to a third party. TheraNext charges a transparent flat monthly fee regardless of how many cases you bill. Your revenue stays with your practice, not with an intermediary.

Visibility instead of a black box

Working through a clearinghouse often means losing sight of where things stand: when was the batch submitted? Which line items were queried? TheraNext shows the status of every claim in real time. Outstanding receivables, corrections, and incoming payments appear in the same interface as your appointment calendar – nothing falls through the cracks.

  • Receivables overview by insurer and treatment episode
  • End-to-end status tracking from submission to payment
  • GoBD-compliant bookkeeping built in

Who benefits most from going direct

Direct billing pays off especially for practices with five or more therapists or monthly revenue above around €8,000 – and for anyone who takes data ownership seriously. Because TheraNext is fully GDPR-compliant (servers in Germany, field-level encryption), your patient data never leaves the platform. That guarantee is rarely available when a clearinghouse is in the loop.

  • Ideal for growing solo and group practices
  • No patient data transferred to third-party services
  • Short contract terms – no long-term lock-in required

Therapy catalogue, prescription checker, and blank prescriptions in one place

TheraNext pairs direct §302 billing with a complete clinical administration layer: the HeilM-RL traffic-light rule checker validates prescriptions automatically, blank prescriptions (Blankoverordnung) are natively supported, and the current remedies catalogue is always up to date. No billing error caused by a missed prior-authorisation requirement or an incorrect item code.

Frequently asked questions

Can a physiotherapy practice really bill insurers without a clearinghouse?

Yes. Section 302 SGB V explicitly permits allied health providers to submit claims directly to statutory insurers. TheraNext provides the full technical layer – file format, transmission, response processing – so no external service is required.

How long does it take for insurers to pay?

Without a clearinghouse you are no longer dependent on their internal processes. Payment deadlines are set by the applicable framework contract for each insurer category; TheraNext does not change those timelines, but you can see the status of every submission in real time and never have to chase a third party for an update.

What happens if an insurer queries a line item?

TheraNext displays error codes and disputes directly in the interface. You correct the record and resubmit – no detour via a clearinghouse and no wait for their feedback cycle.

Which allied health professions does TheraNext support?

TheraNext is built for all SGB V allied health providers: physiotherapy, occupational therapy, speech and language therapy, and podiatry. The §302 billing logic, remedies catalogue, and prescription rule checker are fully implemented for all professional groups.

Start billing directly – free trial

Begin your free trial today and see how TheraNext handles your complete §302 billing workflow – no clearinghouse, no percentage fees, no commitment.