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ExampleInvoice templateTariff 595

Swiss Tariff 595 Invoice Example

This is what a complete, insurer-compliant Tariff 595 invoice looks like - with an explanation of every mandatory field.

INVOICE - TARIFF 595
Health promotion
No. 2025-031
Date: 10.04.2025
Provider
Sarah Weber
Yoga Instructor, Qualitop certified
Hauptstrasse 7
4001 Basel
RCC: R345678 | GLN: 7601000345678
Client
James Martin
Riehenstrasse 12, 4125 Riehen
DOB: 03.11.1979
Policy No.: 80756012345678
Insurer
Helsana Versicherungen AG
Supplementary insurance COMPLETA
Services
DateCodeDescriptionAmount
10.04.20250010Individual yoga session (60 min.)CHF 90.00
10.04.20250110Administrative reportCHF 20.00
Payment: Tiers garant
Payment due in 30 days
Total
CHF 110.00

Mandatory Field Explanations

  • RCC number (R345678) and GLN (7601000345678) - Your unique provider identifier, issued after certification. Without it, the invoice is automatically rejected.
  • Provider designation - Your type of service (here: Yoga Instructor, Qualitop certified).
  • Client policy number (80756012345678) - Found on the client's insurance card.
  • Insurer + supplementary module - Specifies which insurer and which product is responsible for reimbursement.
  • Code 0010 - First individual session. Use only at the very first appointment with a new client.
  • Tiers garant - Client pays you directly, then submits the invoice to their insurer for reimbursement. Standard mode for Tariff 595.

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With easy595.ch all fields are pre-filled automatically - select the client, choose the session type, and download a print-ready PDF.

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