Permanent establishment number
The establishment number , short BSNR is a nine-digit number that under the contractual medical or contract psychotherapeutic uniquely identified supply the place of service (permanent establishment). Other places of service provision are assigned a subsidiary number (NBSNR). The BSNR was introduced nationwide on July 1, 2008 together with the lifelong doctor number (LANR). The permanent establishment number must not be confused with the institution code (IK) and the practice network number (PNR).
construction
The permanent establishment number (BSNR) corresponds to the seven-digit health insurance account number valid until June 30, 2008, supplemented by two attached zeros. In the meantime, however, new BSNR are also issued, which are still unambiguous via the first seven characters, but can contain values that differ from "00" in digits 8 and 9 (see Section 5, Paragraph (2) in, inter alia, Directive). It identifies the doctor's practice as a billing unit and enables the assignment of medical services to the place where the service is provided. The term doctor's practice also includes medical care centers (MVZ), institutes, emergency outpatient departments and authorizations at hospitals.
- Positions 1–2: KV country or district code
- Positions 3–7: Unique identification number of the KV in whose area the permanent establishment is located
- Digits 8, 9: "00"
background
The permanent establishment number is assigned to a practice or a medical care center (MVZ) and must be specified when invoicing contract medical services as part of the uniform assessment standard (EBM). It is independent of the composition of the staff and therefore changes e.g. As in a doctor or psychotherapist change of a joint practice not. The permanent establishment number is used within the telematics infrastructure for identification together with the electronic health professional ID card and the institution ID card (SMC-B). The health professional card must not be confused with the doctor's card .
Award
The establishment numbers are assigned by the Association of Statutory Health Insurance Physicians in whose area the establishment is located. A permanent establishment number must be assigned for each location where a contract doctor or contract psychotherapist works. A BSNR must be re-assigned if and only if the admissions committee approves a new doctor or psychotherapy practice, and a further BSNR is then awarded if a joint practice of two doctors or psychotherapists becomes a joint practice The psychotherapist receives the existing BNSR and the other receives a new BSNR issued by the KV. An NBSNR must be reassigned if and only if another place of work according to § 15a Abs. 2 BMV-Ä is approved. In the doctor master data, it is stored whether a permanent establishment number is the number of a permanent establishment or a subsidiary establishment.
Change
No new BSNR will be issued when moving a permanent establishment within a licensing area. It is crucial that there is a BSNR or NBSNR for each approved place of work. The location of the BSNR or NBSNR can be assigned using the associated master data.
Change of BSNR
A BSNR must be changed if the doctor or psychotherapist's practice moves to a new licensing district or another KV area.
termination
- If the BSNR is changed, the old BSNR will be terminated.
- When a doctor's or psychotherapist's practice is terminated, the BSNR must also be terminated.
Exception: If contract doctors or contract psychologists from individual practices initially merge to form a supra-local group practice while retaining the places of work of the previous individual practices, the permanent establishment numbers that have already been assigned must continue to be used. Specifically, this means that the BSNR of an abandoned individual practice becomes an NBSNR of the emerging supra-local group practice (Section 8 of the guideline of the National Association of Statutory Health Insurance Physicians according to Section 75 (7) SGB V on the allocation of doctor and business premises numbers).
validity
- A permanent establishment number (BSNR or NBSNR) assigned once must remain constant without the existence of a change.
- A permanent establishment number assigned once is physically retained even after the number has been terminated and must be blocked for a period of five years after termination.
It should also be noted that the change of a place of activity from a secondary establishment to the contract doctor's seat (establishment) is only permitted at the beginning of a quarter and the election decision must be valid for at least two years if a doctor's practice continues to exist in accordance with § 15a (4) BMV-Ä. The regulation of § 15a (4) BMV-Ä does not apply to the merger of individual practices into a supra-local group practice while retaining the places of activity of the previous individual practices, so that consequently such a merger is permissible at any point in time of a quarter. The change can also take place at any point in time within a quarter if a supra-local doctor's practice with a permanent establishment and ancillary establishment is dissolved and converted into two individual practices.
Individual evidence
- ↑ a b Guideline of the National Association of Statutory Health Insurance Physicians in accordance with Section 75 (7) SGB V on the allocation of doctor and company numbers (PDF; 146 kB) www.kbv.de. Retrieved November 7, 2013.