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1. Insurance Coverage: Section detailing the relationship with health insurance coverage, used when patient has private insurance

2. Payment Plan: Specific installment plan terms, included when patient requires payment in installments

3. Third-Party Guarantor: Terms relating to a third party who guarantees payment, used when applicable

4. Special Discounts: Details of any applicable discount programs or special payment arrangements

5. Electronic Payment Authorization: Terms for automatic payment processing, included when patient opts for automatic payments

6. Hardship Provisions: Terms for handling financial hardship cases, included when offering flexible payment options

1. Schedule A - Fee Schedule: Detailed breakdown of fees for different medical services based on GOÄ

2. Schedule B - Payment Plan Details: Specific payment schedule with dates and amounts when installment payments are arranged

3. Schedule C - Accepted Payment Methods: List of accepted payment methods and associated processing terms

4. Appendix 1 - Patient Rights Summary: Summary of patient rights regarding payments and billing under German law

5. Appendix 2 - Privacy Notice: Detailed GDPR-compliant privacy notice regarding payment data processing

6. Appendix 3 - Contact Information: Complete contact details for billing inquiries and payment support