ID
25550
Description
Formulare für die vertragsärztliche Versorgung Freigabe durch Dezernat 4 - Ärztliche Leistungen und Versorgungsstruktur Geschäftsbereich Sicherstellung und Versorgungsstruktur Abteilung Sicherstellung Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Quelle: http://www.kbv.de/html/formulare.php Forms for contract medical care Released by Department 4 - Medical treatment and structure of supply, division ensurance and structure of supply, department ensurance Herbert-Lewin-Platz 2 10623 Berlin Tel: + 49 (0) 30 - 4005 -1418 Fax: + 49 (0) 30 - 4005 - 271418 Email: SJohn@KBV.de Web: www.kbv.de Source: http://www.kbv.de/html/formulare.php
Link
Keywords
Versions (5)
- 9/5/16 9/5/16 -
- 8/10/17 8/10/17 -
- 8/10/17 8/10/17 -
- 9/5/17 9/5/17 -
- 9/5/17 9/5/17 -
Uploaded on
September 5, 2017
DOI
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License
Creative Commons BY-NC 3.0
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KBV Certificate of estimated day of confinement Template 3b
KBV Certificate of estimated day of confinement Template 3a
Description
Kontoverbindung der Versicherten
Description
Last name
Data type
text
Alias
- UMLS CUI [1]
- C1301584
Description
Given name
Data type
text
Alias
- UMLS CUI [1]
- C1443235
Description
Birth Date
Data type
date
Alias
- UMLS CUI [1]
- C0421451
Description
Zip code
Data type
integer
Alias
- UMLS CUI [1]
- C0421454
Description
City of residence
Data type
text
Alias
- UMLS CUI [1]
- C2316883
Description
Street address
Data type
text
Alias
- UMLS CUI [1]
- C1301826
Description
Account owner
Data type
text
Alias
- UMLS CUI [1,1]
- C2981730
- UMLS CUI [1,2]
- C1704784
Description
IBAN
Data type
text
Alias
- UMLS CUI [1]
- C1549682
Description
Bank name
Data type
text
Alias
- UMLS CUI [1,1]
- C4042872
- UMLS CUI [1,2]
- C0027365
Description
BIC
Data type
text
Alias
- UMLS CUI [1]
- C1549682
Description
Angaben zum Beschäftigungsverhältnis
Description
Current occupation
Data type
integer
Alias
- UMLS CUI [1]
- C0421456
Description
Occupation
Data type
text
Alias
- UMLS CUI [1]
- C0421456
Description
Termination of employment
Data type
date
Alias
- UMLS CUI [1]
- C0014007
Description
Confirmation
Data type
boolean
Alias
- UMLS CUI [1]
- C0750484
Description
Date
Data type
date
Alias
- UMLS CUI [1]
- C0011008
Description
Signature
Data type
text
Alias
- UMLS CUI [1]
- C1519316
Similar models
KBV Certificate of estimated day of confinement Template 3a
C1704784 (UMLS CUI [1,2])
C0027365 (UMLS CUI [1,2])