Declaration of consent
Private medical billing video consultation
1. I am aware that when booking a video consultation and using the AdHoc service, my personal data - , specifically:information taken from the patient file (name, date of birth, address, diagnosis, examination and treatment data) and the assignment of the claim for the purpose of collection may be transmitted on to specific billing companies for the purpose of billing for the medical services provided.
Depending on which doctor provided you with care, your personal data may be either transmitted to:
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the Privatärztliche Verrechnungsstelle Mosel-Saar (PVS Mosel-Saar for short), Metternichstraße 29a, 54292 Trier and Boxbergweg 3a, 66538 Neunkirchen, or
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the Dr. Meindl u. Partner Verrechnungsstelle GmbH (Meindl u. Partner for short), Willy-Brandt-Platz 20, 90402 Nuremberg.
Each a “Service Provider”, collectively “Service Providers”
As Service providers they have a duty of confidentiality and to provide clear information on how they will process your data and to ensure transparent communication you may read their privacy statements below.
2. I am aware that either Service Provider will bill my doctor's services in its own name and collect the money on its own account. If there are differences of opinion about the legitimacy of the claim, I am aware that additional data required to justify the bill will be passed on from the patient file. In the event of a legal dispute, either Service Provider will be a party to the proceedings; my doctor can be heard as a witness. In this respect, I also hereby release my doctor from his duty of medical confidentiality.
3. This declaration also applies to claims arising from future treatments. It can be revoked at any time with future effect by:
writing to my doctor; or
To PVS Mosel-Saar,
or Meindl and Partner,
The revocation of consent does not affect the legality of the processing carried out up to that point on the basis of this consent. In the event of revocation, no further data transmission will take place between my doctor and the Service Provider.
If you have any questions you can contact us at the following address: meliva-dpo@chino.io
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Information according to Art. 12 ff GDPR in conjunction with §§ 32 ff BDSG |
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PSV Mosel Saar |
Meindl u. Partner |
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As a holder of professional secrecy in accordance with Section 203 of the German Criminal Code, PVS Mosel-Saar is subject to the provisions of statutory confidentiality and data protection, just like we are. If you have any questions about an invoice, PVS Mosel-Saar will be happy to help you, answer your questions about billing numbers, create duplicate copies and support you in arguing if there are complaints from your payer or your insurance company. If you have any questions about billing, you can contact PVS Mosel-Saar at the following addresses: ● Metternichstraße 29a, 54292 Trier or by phone at 0651 97802 – 0 ● Boxbergweg 3a, 66538 Neunkirchen or by phone at 06821 9191 – 3 ● via the Internet at www.pvs-mosel-saar.de/patienten-service/ The health data processed by PVS Mosel-Saar will be blocked once the purpose no longer applies and deleted after the statutory retention periods have expired. You have the right to receive information about the personal data concerning you. You can also request that incorrect data be corrected. In addition, under certain conditions you have the right to delete data, the right to restrict data processing and the right to data portability. Please address your concerns about data protection directly to the data protection officer of PVS Mosel-Saar (e.g. by email to datenschutz@pvs-mosel-saar.de). Further information on data protection at PVS Mosel-Saar can be found at www.pvs-mosel-saar.de/datenschutz/datenschutz-fuer-patienten/ You also have the right to complain to the competent supervisory authority for data protection if you believe that the processing of your personal data is not lawful. The contact details of the competent The supervisory authority in Rhineland-Palatinate is: The State Commissioner for Data Protection and Freedom of Information Rhineland-Palatinate |
As a clearing house, Meindl u. Partner is subject to the same strict confidentiality obligation as your service provider. Like your service provider, Meindl u. Partner must also observe data protection regulations. Meindl u. Partner processes your personal data on the basis of your consent in accordance with Art. 6 Para. 1 Letter a and Art. 9 Para. 2 Letter a of the EU General Data Protection Regulation. Otherwise, the service provider can/must settle the bill themselves. Meindl u. Partner will delete your invoice-related data immediately if the statutory or official retention periods (usually 10 years) have expired and the purpose of the processing has been achieved. If the purpose is fulfilled before the expiry of the retention periods, data processing will be restricted (blocking of the data). You have every right to request information from us about which of your personal data Meindl u. Partner processes. Of course, you can also request that Meindl u. Partner correct any incorrect or incomplete personal data. In accordance with the statutory requirements, you have the right to erasure or restriction of processing as well as the right to data portability. If you have any questions about data protection, please contact the data protection officer at Meindl u. Partner. You can reach him via: Dr. Meindl u. Partner Verrechnungsstelle GmbH – Data Protection Officer - Willy-Brandt-Platz 20 - 90402 Nuremberg You can also complain to a supervisory authority. The Bavarian State Office for Data Protection Supervision, Promenade 27, 91522 Ansbach, is responsible for Meindl u. Partner. |
This document was last updated on07/04/2026