AS Abrechnungsstelle

What AS Abrechnungsstelle does

AS Abrechnungsstelle für Heil-, Hilfs- und Pflegeberufe AG is a German family-owned billing and receivables service provider for non-physician healthcare providers, processing claims, correspondence, and dunning for physiotherapists, occupational therapists, speech therapists, midwives, opticians, hearing aid acousticians, orthopedic technology firms, Sanitätshäuser (medical supply stores), Zweithaarspezialisten (hair replacement specialists), and outpatient, intensive, day, stationary, and consulting care services. Headquartered in Bremen with additional offices in Berlin and Wittstock, the company describes itself as one of Germany's market leaders (Marktführer) in Leistungsabrechnung for the Heil-, Hilfs- and Pflegeberufe.

The platform centers on three core billing verticals — Heilmittelabrechnung, Hilfsmittelabrechnung, and Pflegeabrechnung — supported by add-on modules including AS EKV (electronic cost estimate portal), AS Finance (patient installment financing for Zweithaar and Nagelspangentherapie), AS Ausfallschutz (bad debt protection extending pre-financing from 30 to 45 days), and a free web-based Kundenportal. Underlying technology components include DTA (Datenträgeraustausch — electronic data interchange with insurers to avoid 5% paper-billing deductions), TI-Anbindung via the cure nect platform connecting care facilities to Germany's Telematikinfrastruktur, and POSTIDENT/VideoIDENT for GwG-compliant onboarding. AS TRANS-MED operates as a sub-brand for medical transport billing, and AS Academy delivers two-week onboarding for new hires.

Revenue is generated through transaction-based fees on claim volume and pre-financing services; pricing is individually negotiated and not publicly disclosed, with no minimum contract term required. The company pre-finances more than €2 billion in claims annually (up from approximately €16 million in 2004), guaranteeing payment to providers within 48 hours. Distribution is exclusively direct — organized field-sales teams cover all 16 German states by product category, supplemented by trade-show participation, professional-association partnerships, and an inbound contact form. Founded in 1995 as a GmbH and converted to a privately held Aktiengesellschaft in 2004, AS AG remains family-owned under the Harms family, with Christoph Harms as Vorstandsvorsitzender since 2014. Headcount stands at approximately 400–500 employees.

Name

AS Abrechnungsstelle

Legal name

AS Abrechnungsstelle für Heil-, Hilfs- und Pflegeberufe AG

Website

https://as-bremen.de

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

251–500 employees

Short description

AS Abrechnungsstelle is a German family-owned billing service for non-physician healthcare providers — physiotherapists, medical aid suppliers, and care services — handling claims, dunning, electronic transmission to insurers, and pre-financing more than €2 billion in annual claims volume.

Ownership category

akta.pro rank

Product category

Healthcare Billing Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Misc Health & Allied Services, Nec (8090), Short-Term Business Credit Institutions (6153)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Healthcare Billing & Patient Payments Presentment (FSAMAJAH), Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

Keywords

• Healthcare billing services
• Medical invoice processing
• Insurance claim management
• Patient financing solutions
• Telematics infrastructure integration

Headquarters

HQ city

Bremen

HQ country

Germany

HQ region

Europe

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Billing and Financial Services for Healthcare Providers: AS AG charges healthcare providers (therapists, care services, medical supply stores) for handling their billing processes with health insurance companies and other cost carriers. This includes correspondence, dunning, invoice processing, and electronic data transmission (DTA). The company also pre-finances billed amounts (over €2 billion annually), charging for this financial service. No contract terms are required from customers.
2. AS Finance — Patient Financing: AS AG offers patient financing solutions (AS Finance) for Zweithaar (hair replacement) and Nagelspangentherapie (nail clip therapy), taking over the customer's self-financing share and providing installment payment options of 6, 12, or 18 months to the end patient. This reduces the provider's risk of revenue loss.
3. AS EKV — Electronic Cost Estimate Service: Fees associated with the AS EKV portal for creating and submitting electronic cost estimates to insurance providers for Hilfsmittel suppliers.
4. AS Ausfallschutz — Bad Debt Protection: A supplementary service that provides continued pre-financing in case of threatened receivables write-off after dunning procedures, with extensions from 30 to 45 days.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels7 records

Core offering

AS Abrechnungsstelle provides outsourced billing, administrative, and pre-financing services for healthcare providers in Germany's Heilmittel (therapeutic services), Hilfsmittel (medical aids/equipment), and Pflege (nursing care) sectors. The company manages complete invoicing workflows with health insurers and other cost carriers, including electronic data transmission (DTA), dunning, and 48-hour pre-financing of billed amounts exceeding €2 billion annually. Supplementary offerings include electronic cost estimates (AS EKV), patient installment financing (AS Finance), bad debt protection (AS Ausfallschutz), and Telematikinfrastruktur (TI) connectivity for care facilities.

Product overview

AS AG operates as a unified billing and financial services platform for the German healthcare sector, consisting of three core billing products (Heilmittelabrechnung, Hilfsmittelabrechnung, and Pflegeabrechnung) supported by multiple add-on modules. The core products handle billing for therapeutic services, medical device supplies, and nursing care respectively. Supporting modules include AS EKV for electronic cost estimates, AS Finance Zweithaar and AS Finance Nagelspangentherapie for customer financing, AS Ausfallschutz for default protection, and AS Kundenportal for transparent data access. The platform also includes TI-Anbindung/TI-Ready Pflege for telematics infrastructure connectivity and PostIdent/VideoIdent for compliance verification. AS TRANS-MED serves as a sub-brand for medical transport billing.

Differentiator

Problem solved

Functional benefit

Brands

• AS TRANS-MED: Brand for medical transport services including patient transportation and taxi central services.

Products and services

• Heilmittelabrechnung Billing service for therapeutic healthcare providers including physiotherapists, occupational therapists, speech therapists, massage therapists, midwives, and early intervention specialists. Handles complete invoice processing with statutory health insurers, including correspondence, dunning, and electronic data transmission (DTA).
• Hilfsmittelabrechnung Billing service for medical device suppliers including optical retailers, hearing aid acousticians, orthopedic technicians, medical equipment providers, and rehabilitation equipment dealers. Manages §300 and §302 SGB V billing workflows and reimbursement processes with cost carriers.
• Pflegeabrechnung Billing service for nursing care providers covering ambulatory care, intensive care, day care, residential care, and care consulting services. Structured by federal state with dedicated advisors for each of the 16 German states, handling SGB V and SGB XI billing requirements.
• AS EKV (Elektronische Kostenvoranschläge) Portal for creating and submitting electronic cost estimates (Elektronische Kostenvoranschläge), enabling digital communication with payers and efficient data transmission for Hilfsmittel providers.
• AS Finance Zweithaarfinanzierung
• AS Finance Nagelspangentherapie
• AS Ausfallschutz
• AS Direkt
• TI-Ready Pflege
• AS TRANS-MED
• PostIdent / VideoIdent
• AS Kundenportal

Quantifiable outcome

• Over €2 billion in annual pre-financing for customers, up from €16 million in 2004
• +3 more outcomes

Named customers14 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature5 records

Partnerships

23 partnerships are on record, tiered core and minor.

• cure nect GmbHcoreTechnology or Integrationcure nect® provides the technical platform and connectivity for AS AG's Telematikinfrastruktur (TI) integration services for care facilities (TI-Ready Pflege). cure nect® connects AS AG's care customers to gematik's nationwide healthcare data infrastructure, enabling access to all currently available specialist services in the care sector, first-level support, and regular maintenance updates.
• Deutscher Bundesverband für Logopädie e.V. (dbl)coreStrategic or Co-development PartnerAS AG is a partner of the dbl (German Federal Association for Speech-Language Therapy). AS AG participates in the annual dbl-Kongress as an exhibitor, engaging directly with speech therapists across Germany. The partnership provides access to the professional association's member base.
• Bundesverband für Ergotherapeuten in Deutschland (BED)coreStrategic or Co-development PartnerAS AG partners with BED e.V., the German Federal Association for Occupational Therapists, providing billing services and support to occupational therapy practices.
• Deutscher Verband der Ergotherapeuten e.V. (DVE)coreStrategic or Co-development PartnerAS AG partners with DVE e.V., another major occupational therapy association in Germany, providing billing services and industry support.
• LOGO DeutschlandminorStrategic or Co-development PartnerPartnership with LOGO Deutschland, a speech therapy association/network, providing AS AG visibility and access to its member base.
• BVZ GeschäftsstelleminorStrategic or Co-development PartnerPartnership with BVZ (presumably Bundesverband Zweithaar or similar hair replacement association) providing AS AG access to the Zweithaarspezialisten (hair replacement specialist) market segment.
• bpa — Bundesverband privater Anbieter sozialer Dienste e.V.coreStrategic or Co-development PartnerAS AG partners with bpa (Federal Association of Private Providers of Social Services). AS AG attended the bpa-Mitgliederversammlung in Baden-Württemberg in Friedrichshafen, engaging with care service providers who are members of the bpa.
• AnbieterVerband qualitätsorientierter Gesundheitspflegeeinrichtungen e.V. (AVG)minorStrategic or Co-development PartnerPartnership with AVG, a quality-oriented association for healthcare facilities, providing AS AG access to its member network.
• Arbeitgeber- und BerufsVerband Privater Pflege — ABVP e.V.minorStrategic or Co-development PartnerPartnership with ABVP, a private employment and professional association for the care sector.
• CGM — CompuGroup Medical SEcoreTechnology or IntegrationCGM, a leading provider of healthcare software (including MediFox, CGM LIFE, and other care management systems), is listed as a software partner for the care sector. AS AG integrates with CGM software platforms for seamless billing data exchange.
• ORTHEG — Einkaufsgenossenschaft für Orthopädie-Technik eGminorChannel Partner/ Reseller/ DistributorORTHEG is a purchasing cooperative for orthopedic technology. AS AG partners to reach orthopedic technology providers through this distribution channel.
• EGROH e.G.minorChannel Partner/ Reseller/ DistributorEGROH is a purchasing cooperative for hearing aid acoustics, helping AS AG reach hearing aid specialist customers.
• Kompetenzzentrum Deutscher Zweithaarprofis UGminorStrategic or Co-development PartnerCompetence center for German hair replacement professionals, supporting AS AG's Zweithaar (hair replacement) billing and financing services.
• rehaVital Gesundheitsservice GmbHminorStrategic or Co-development PartnerrehaVital is a health service provider cooperative for rehabilitation. Partnership supports AS AG's rehabilitation and Hilfsmittel billing services.
• VDAB Mitgliederservice KGminorStrategic or Co-development PartnerVDAB is an association for care providers. Partnership gives AS AG access to VDAB's member base for billing service promotion.
• Koell ConsultingminorImplementation/ SI/ Consulting PartnerBusiness consulting firm providing advisory services to Heilmittel, Hilfsmittel, and Pflege providers. Partnership supports AS AG's customer acquisition through referrals.
• Amberger Consulting GmbHminorImplementation/ SI/ Consulting PartnerAmberger Consulting provides business consulting services to healthcare providers across Heilmittel, Hilfsmittel, and Pflege sectors.
• Meduplus GmbHminorOthersMeduplus provides training and continuing education for healthcare professionals.
• WEBINARA HR Competence CenterminorGTM or Marketing PartnerWEBINARA provides HR training and webinars. Partnership supports AS AG's educational content and HR development activities.
• SharemagazinesminorGTM or Marketing PartnerSharemagazines provides a magazine subscription service. Listed as a 'further' partner, likely used for employee benefits or marketing activities.
• Job-Physio.deminorOthersJob-Physio.de is a job, practice, and training exchange platform for physiotherapists. Partnership supports AS AG's reach to physiotherapy practices.
• GSV Rückgrat e.V.minorStrategic or Co-development PartnerGSV Rückgrat is a professional association for rehabilitation providers.
• Verband Deutscher Logopäden und Sprachtherapeutischer Berufe e.V. (VDLS)minorStrategic or Co-development PartnerVDLS is an association for speech therapists and speech therapy professionals.

Scale indicators5 records

Recent moves11 records

Expansion highlights6 records

Emerging players

• Curalie GmbH: Curalie provides digital care management and patient engagement tools for ambulatory care providers in Germany. As an emerging digital health platform in the Pflege segment, it represents a partial-overlap adjacent player that could evolve into a billing competitor.
• zollsoft GmbH: zollsoft develops practice management software (medisoft, tomedo) used by German healthcare providers. As an embedded software vendor with growing billing features, it represents an emerging competitive threat to AS AG's traditional outsourced billing model.

Broad incumbents

• Helmsauer Gruppe: Helmsauer Gruppe is a larger, established German medical billing and financial services group with a broader portfolio (dental, medical, care). It overlaps with AS AG's Hilfsmittel and Pflege billing but operates across multiple segments, making it a broad incumbent in the same space.
• CompuGroup Medical SE: CompuGroup Medical is one of Europe's largest healthcare software vendors (MediFox, CGM LIFE), with deep integration partnerships into AS AG's customer base (WXA8N...). CGM could vertically integrate billing/financing services, making it both a partner and a strategic incumbent competitor.
• PVS dental-rebus: PVS dental-rebus is part of the PVS group and a major German dental and medical billing service. While it overlaps with AS AG's billing services and pre-financing model, its focus skews dental and physician, positioning it as a broader incumbent adjacent to AS AG's niche.

Others

• DATEV eG: DATEV is Germany's leading cooperative provider of tax, payroll, and billing software for SMBs and professionals. While not a direct billing competitor in Heil/Hilfs/Pflege, DATEV provides adjacent accounting/back-office infrastructure that overlaps with the operational needs of AS AG's healthcare provider customers.

Direct peers

• DMRZ (Deutsches Medizinrechenzentrum): DMRZ is a German online billing center (online Abrechnungszentrum) for healthcare and social service providers, offering similar electronic billing, pre-financing, and administrative services to AS AG across multiple Leistungserbringer categories.
• MEDISERV GmbH: MEDISERV is one of Germany's leading billing and administrative service providers for Heil-, Hilfs- und Pflegeberufe, directly competing with AS AG in Leistungsabrechnung for healthcare providers. The two companies share the same target customer base, regulatory environment, and service model.
• Solutio GmbH & Co. KG: Solutio is a German billing service provider for dental and medical professionals, offering Abrechnung and Vorfinanzierung similar to AS AG. While focused more on dental, it competes in the same outsourced billing market with comparable financial services.
• Optica Abrechnungsstelle: Optica Abrechnungsstelle specializes in billing for opticians and ophthalmology providers in Germany - a direct overlap with AS AG's Hilfsmittel Optiker segment. Both serve the same customer type with similar billing/pre-financing services under German statutory insurance.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/pages/As-Abrechnungsstelle-AG/140706535972892
• LinkedInde.linkedin.com/organization-guest/company/asag
• Instagraminstagram.com/as_abrechnungsstelle_ag

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about AS Abrechnungsstelle