Private medical clearing house

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Logo of the PVS

Private medical clearing centers (PVS) are service providers who issue invoices for treatments for private patients and patients with statutory or private insurance as part of self- pay services according to the fee schedule for doctors (GOÄ) or the fee schedule for dentists (GOZ).


There are 13 regional private medical clearing offices in Germany, which are organized as medical-run associations or cooperatives. Its members are general practitioners, dentists and senior hospital doctors.

The Association of Private Medical Clearing Offices in Berlin is the umbrella organization for private medical clearing offices to which eleven of these regional organizations belong. The following clearing offices are part of the Association of Private Medical Clearing Centers e. V. united:

  • Private medical clearing house Mosel-Saar eV
  • Private medical clearing house Baden-Württemberg eG
  • Private medical clearing office Limburg / Lahn eV
  • Private medical clearing office Saxony eV
  • Private medical clearing office Schleswig-Holstein / Hamburg rkv
  • Private medical clearing office Südbaden eV
  • Private medical clearing office Kurpfalz eV
  • Private medical clearing office Westfalen-Nord eV
  • Private medical clearing office Westfalen-Süd rkV
  • Private clearing office for doctors in Lower Saxony rkv
  • Private clearing office for doctors and dentists Bremen eV


The first association of resident doctors for billing was founded in Gauting near Munich in 1922 , and other clearing offices quickly followed. In 1952, a working group of clearing houses that had existed since 1949 became the Association of Private Medical Clearing Houses. Even before the Second World War, there had been the first working group of private medical clearing offices, which was established at the Doctors' Day in Leipzig in 1925 on the initiative of Dr. Pursche ( Stuttgart ) was launched. In contrast to commercial clearing centers, the clearing centers organized in the PVS Association are joint medical facilities.

Private billing using a data carrier

As early as 1987, the Association of Private Medical Clearing Houses introduced an interface for the exchange of treatment data between the practice computer and the clearing house. It is a file in ASCII format with a fixed record length of 128 bytes using the DOS character set (code page 437 or 850 ) that was widely used at the time . Due to the early conception and the leading role of private medical clearing houses in the area of private liquidation , the PAD interface has developed into the de facto standard. The high stability of the interface (only two versions since 1987, the last from 12/2003) supports the acceptance by the software providers.

For the direct transfer of the billing data, "PAD dialog", the online system of private medical clearing offices, is mostly used today. Both simple text editors and tools such as PADEdit can be used to edit the files. In the early years, the abbreviation PAD stood for "private billing on diskette". Today the abbreviation PAD is used for "PrivatAbrechnung Digital".

In 2009 the PVS association developed a new interface in XML format called "PADneXt". The publication of this new standard took place in 2010.

All members of private medical clearing offices are subject to the criminally protected duty of confidentiality in accordance with Section 203 Paragraph 1 No. 6 StGB .


In addition to the PVS, there are companies with comparable services and similar names (medical clearing office, medical accounting service, accounting service, clearing office, private liquidation office, PVS dental, etc.), but they are not joint medical institutions.

Individual evidence

  1. ^ Website of the PVS Association, accessed on May 12, 2016.