BEITEN BURKHARDT advised the Association of Substitute Health Insurance Funds (Verband der Ersatzkassen e.V. – vdek) on the deal.
The Association of Substitute Health Insurance Funds (Verband der Ersatzkassen e.V. – vdek) concluded negotiations with the insolvency administrator of AvP Deutschland GmbH (AvP).
As a result, the Association of Substitute Health Insurance Funds concluded a trustee agreement with the insolvency administrator of the pharmacy billing service provider AvP. According to this agreement, the six substitute health insurance funds (TK, Barmer, DAK- Gesundheit, KKH, hkk and HEK) will pay outstanding claims for remuneration from pharma- cies into the account of a neutral trustee (hww) until the pharmacies have clarified the controversial legal situation with the AvP insolvency administrator.
The insolvency administrator assumes that the pharmacies’ claims that he has not released are part of the AvP’s insolvency estate. Some of the affected pharmacies and their repre- sentatives do not fully share that legal opinion. The substitute health insurance funds had made extensive payments on account to AvP up to and including August 2020 for receiva- bles from prescriptions that were assigned to AvP for billing. As a consequence of the insolvency, however, these monies were no longer paid to the pharmacies.
vdek points out that the substitute health insurance funds are not allowed to make direct payments to the pharmacies due to the insolvency proceedings that have been opened. The pharmacies can thus only resolve their possible claims with the insolvency administrator.
Overall, vdek assumes that the amounts still outstanding – especially for the public pharmacies are significantly lower than the invoice amounts originally demanded by the pharmacies. The reason for this is the advance payments already made to AvP before the opening of insolvency.
AvP operated one of the largest pharmacy billing centres in Germany with about 3,500 customers and an annual billing volume of about EUR 7 billion. After filing for insolvency on 16 September 2020, it successively discontinued its business operations.
The BEITEN BURKHARDT team included Dr Silke Dulle (Picture – Social Security and Medical Law, Berlin), Frank R. Primozic (Insolvency Law, Frankfurt, both lead partners in charge), Christian Hipp, Robert Schmid (both Social Security and Medical Law, Berlin), Dr Moritz Handrup, Lutz Bachmann and Joel F. Schaaf (all Insolvency Law, Frankfurt). Dr Susanne Klein (Frankfurt) supported the team in all data protection law issues.
The inhouse team at vdek was led by Björn Diering.
Involved fees earner: Lutz Bachmann – Beiten Burkhardt; Silke Dulle – Beiten Burkhardt; Moritz Handrup – Beiten Burkhardt; Christian Hipp – Beiten Burkhardt; Susanne Klein – Beiten Burkhardt; Frank Primozic – Beiten Burkhardt; Joel Felix Schaaf – Beiten Burkhardt; Robert Schmid – Beiten Burkhardt;
Law Firms: Beiten Burkhardt;
Clients: vdek – Verband der Ersatzkassen e. V.;