German Health Insurance Claims Assistant (SGB V)
Provides structured legal guidance and templates for contesting health insurance claim denials under German Social Law (SGB V).
This skill empowers users to navigate disputes with German health insurance providers (Krankenkassen) by providing domain-specific legal guidance based on SGB V. It covers various scenarios including rejected medical treatments, rehabilitation, medical aids, therapies, and sick pay (Krankengeld). By offering procedural steps, deadline calculation logic for the 'Genehmigungsfiktion' (deemed approval), and draft objection templates, it helps individuals structure their self-representation before social courts and administrative bodies while ensuring adherence to specific German legal standards and 'Quellenhygiene'.
주요 기능
01Strategic planning for sick pay (Krankengeld) exhaustion scenarios
02Domain-specific guidance for medical aids (Hilfsmittel) and therapies
03Automated 'Genehmigungsfiktion' (§ 13 Abs. 3a SGB V) deadline calculation
04Evidence strategies for countering Medical Service (MD) expert reports
05869 GitHub stars
06Professional templates for formal legal objections (Widerspruch)
사용 사례
01Challenging a health insurance company's rejection of a wheelchair or hearing aid claim
02Invoking legal deemed approval when an insurer fails to respond within statutory deadlines
03Contesting the termination of sick pay (Krankengeld) after the 78-week maximum period