1Patient billing is largely a consumer transaction
Direct patient payments fall on the consumer side, which is currently outside the mandate.
Healthcare providers bill two very different counterparties: patients and insurers. One of those is a consumer transaction and one is emphatically a business transaction, and most clinics do both every day.
Four things worth understanding properly before you spend money on anything.
Direct patient payments fall on the consumer side, which is currently outside the mandate.
Invoicing an insurer, a corporate health scheme or another provider is a business transaction and in scope.
Many clinics run claims through a specialist platform. Whether that platform produces a compliant structured invoice is a specific question worth asking.
Pharmaceuticals, consumables, equipment and maintenance all arrive as supplier invoices that will increasingly be structured.
Written for someone doing this alongside running the business.
Short, practical answers. If yours is not here, ask us directly — we answer even if you never become a client.
Direct patient billing is a consumer transaction and currently excluded. Insurance billing and corporate health accounts are business transactions and in scope.
Ask the vendor specifically whether it produces compliant structured invoices and which accredited providers it connects to. Do not assume it does.
Separate your consumer billing from your insurance and corporate billing, and confirm what your existing systems can produce.
Most businesses will need something sitting between their sales desk and their Accredited Service Provider — a system that creates a proper structured invoice, holds the customer data the standard demands, and keeps a record an auditor will accept. That is what we build, and because we build it ourselves we can shape it around your business rather than asking you to reshape your business around a product.
GoldenKey is a business setup and compliance consultancy. We are not a Ministry of Finance Accredited Service Provider, and we do not claim to be one. Our software is built to work alongside the ASP you appoint. Scope, timelines and pricing are agreed in writing before any work starts.
We would rather answer a question and never hear from you again than have you guess at a compliance obligation.
No cost, no obligation. We tell you which phase you fall into and what you actually need.
GoldenKey covers every step — start, run, grow — under one golden roof: