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All collectionsBillingAdmin Configuration - BillingInitial Setup for Services & Billing ConfigurationConfigure Care Cost Allocation

Configure Care Cost Allocation

Define how care costs are distributed between residents, health insurance providers, and the canton according to KVG regulations.

Amit GadhiaยทApril 14, 2026

โœ… When should this feature be used?

Use this feature during the initial setup of care service billing.

๐Ÿ‘‰ This step is part of the Initial Setup Checklist and is essential for compliant billing under KVG.


๐Ÿ” What is care cost allocation?

In Switzerland, care costs (under KVG) are typically split between multiple payers.

The allocation is based on:

  • The care level (e.g. RAI)

  • Cantonal regulations


๐Ÿ“Š Typical Allocation

  • Resident
    Pays a legally defined daily contribution

  • Health Insurance (KVG)
    Pays a fixed amount depending on care level

  • Canton / Subsidy Authority
    Covers the remaining amount


โš™ Step by Step: Configure Care Cost Allocation

Navigation
Go to:
Administration โ†’ Configurations โ†’ Residents Billing โ†’ Cost Allocation

Create new allocation

  1. Click the + icon

  2. Create a new cost allocation

General details

  • Name: Clear name (e.g. Care Costs 2026)

  • Service Cost Type: Select Care Costs

  • Validity Period: Define the applicable period

Define allocation per care level

For each care level (e.g. RAI):

  • Resident share (CHF/day)

  • Insurance share (CHF/day)

  • Canton share (CHF/day)

Save

Click Save to apply the configuration.


โš  Important

  • This configuration must reflect current legal requirements

  • Changes affect future billing only

  • Existing invoices remain unchanged


๐Ÿ’ก Recommendations

  • Regularly review cantonal requirements

  • Update allocations at least annually

  • Ensure all care levels used in your facility are configured


๐Ÿ“š Related Articles

Checklist: Initial Setup for Services & Billing Configuration

Set up the required configurations so that services can be recorded and billed correctly.


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