Providers of health promotion courses, training, or subscriptions will be familiar with today's process: customers receive an invoice or subscription confirmation and submit it to their supplementary health insurer. From January 1, 2027, this process will become more standardised. Participating health insurers, quality labels, and certification bodies will then require Tariff 595 and the XML 5.0 invoice standard for newly issued reimbursement receipts.
For providers, this initially means additional preparation. In addition to the usual invoice data, the tariff position, GLN, ZSR, insurance details, and AHV number will need to be compiled correctly. This is exactly where the planned Tariff 595 feature in edoobox will help: the required information will be linked to the existing booking and invoice management system, so you will not need to set up a separate process for every invoice.
Note on availability in edoobox
The Tariff 595 feature is currently in the final stages of preparation and is not yet available in the production version of edoobox. We will communicate the exact release date and setup steps in good time.
Key points at a glance
- Tariff 595 covers outpatient health promotion services under supplementary insurance governed by the VVG.
- From January 1, 2027, the XML 5.0 invoice format will be required for new reimbursement receipts.
- A Tariff 595 invoice requires additional provider, insurance, and participant data.
- The tariff standardises how the service is presented, but it determines neither your price nor a guaranteed reimbursement.
- The planned edoobox feature will create the XML file from existing booking and invoice data.
- Direct transmission via eTG remains a separate and, according to current information, voluntary process.
What will change with Tariff 595?
Tariff 595 is officially entitled 'Outpatient health promotion services under the VVG'. It creates a common structure for services such as fitness subscriptions, group courses, personal training, body-and-mind programmes, and selected counselling and prevention services. Depending on the service, billing may be per session, per month, or per year.
The tariff is not a price list. You continue to set your own prices. Recognition of your service and the amount reimbursed still depend on your customer's supplementary insurance. A technically correct invoice makes processing easier, but it is not a guarantee of payment from the health insurer.
VVG rather than basic health insurance
Tariff 595 applies to voluntary supplementary health insurance under the VVG. It is not a tariff for compulsory basic health insurance. Whether a service is reimbursed therefore continues to depend on the insurance product, the provider's recognition status, and the conditions of the relevant health insurer.
Tariff and XML serve different purposes
The tariff specifies which service is billed. The XML 5.0 schema specifies details like the required technical structure of the entire invoice. Together, they form a standardised Tariff 595 reimbursement receipt.
This may sound technical, but it has a straightforward benefit: the health insurer receives the information in a consistent, machine-readable format. This helps prevent incomplete or difficult-to-read receipts. ZUGFeRD and XRechnung are different invoice formats and do not replace Tariff 595 XML.
What data does a Tariff 595 invoice require?
The invoice brings together information that may currently be maintained in different places. Careful preparation will reduce follow-up questions and manual corrections later.
- Invoice issuer: Company name, address, GLN, and ZSR
- Service provider: Provider GLN, location GLN, ZSR, and place of service
- Health insurer: Name, address, and GLN of the responsible insurer
- Insured person: First name, last name, date of birth, gender, address, and AHV number
- Service: Tariff 595, tariff code, official description, quantity, and price per unit
- Service period: Actual start and end of the subscription or service
- Treatment: outpatient, prevention, and canton of treatment
- Payment: CHF, IBAN, reference, invoice total, and outstanding amount
- Invoice: Invoice number, invoice date, and, where applicable, payment reminder information
For participants who are minors, their legal representative may also be relevant. It is important that the insured person remains clearly identified. The service period must also be correct: the actual start of the service or subscription is decisive.
How the planned feature will work in edoobox
Our goal is a transparent workflow without duplicate data entry. The Tariff 595 output will therefore be connected directly to the existing participant, booking, and invoice management system.
- Set up the basic information once: The invoice settings will contain the provider and location GLNs, ZSR number, health insurer data, default tariff position, canton of treatment, quantity rule, AHV data field, and IBAN. A validation check will prevent the feature from being activated with an obviously incomplete configuration.
- Collect the required information during booking: A dedicated participant data field can be used for the AHV number and linked to the Tariff 595 setting. You decide which registration forms display the field and require it to be completed. Name, address, date of birth, and gender are also taken from the participant data.
- Set the appropriate tariff position and quantity: In the initial implementation, a default tariff position will be stored in the invoice settings. The quantity can be either one flat-rate unit or the number of sessions booked. This covers, for example, annual subscriptions with a quantity of 1 and 10-session course subscriptions with ten sessions.
- Create the invoice as usual: The invoice will still be created automatically when a booking is made or manually by an administrator. edoobox will combine the required participant, booking, and payment data for the Tariff 595 output. The feature is intended for invoices in Swiss francs.
- Validate, save, and provide the XML: A separate XML file in generalInvoice 5.0 format will be generated from the invoice. Before saving, edoobox will validate its technical structure against the official schema. The XML will then be available for download in the invoice view and can be attached to the designated invoice emails.
Example: A 10-session course subscription
A customer books ten sessions of a recognised group course. During registration, the personal details required for the invoice are collected. The appropriate 'per session' tariff position is used with a quantity of 10.
Once the feature is available and configured, edoobox will generate the Tariff 595 XML in addition to the standard individual invoice. The customer pays the provider as usual and submits the reimbursement receipt to their supplementary insurer. The health insurer decides whether a reimbursement is due and how much will be paid, based on the insurance product.
Tiers Garant and eTG: Two possible routes
In the usual Tiers Garant process, the customer pays the invoice to you and submits the reimbursement receipt to their supplementary insurer. The health insurer then checks the provider's recognition status, the insurance coverage, and the reimbursable amount.
The planned edoobox feature will generate and provide the required XML. This does not automatically include direct electronic transmission to the health insurer via eTG or MediData. According to current information, eTG is voluntary and requires a separate transmission agreement as well as the customer's consent.
The AHV itself does not pay for these services either. The AHV number is used on the reimbursement receipt solely to identify the insured person unambiguously.
How Tariff 595 differs from Tariff 590
Tariff 595 does not automatically apply to every health-related service. It is intended for health promotion and prevention services provided by fitness centres, course providers, movement studios, and comparable organisations. Complementary and alternative medicine services, by contrast, are generally invoiced under Tariff 590.
If you operate in both areas or use multiple ZSR numbers, the services must be invoiced separately. If in doubt, clarify the correct allocation with your certification body.
AHV number and data protection
The AHV number is a permanent personal identifier and should be handled with appropriate care. Individual tariff positions may also reveal information about a person's private or health-related circumstances.
Only collect the information you need for the reimbursement receipt. Restrict access to authorised staff, use secure administrator accounts, and review how the invoice and XML are delivered to the correct person.
The systematic use of the AHV number outside the AHV system is regulated by law. Before using it in production, you should therefore clarify the legal basis, your role as data controller, any reporting obligations, and the applicable retention and deletion periods. Consent in the registration form does not automatically replace this assessment.
As a Swiss partner, edoobox provides the technical foundation for structured and controlled processing. Each provider remains responsible for the lawful collection of data, correct tariff allocation, and access management. If you have any questions about setup, our team will be happy to assist you personally.
What you can prepare now
- Check your GLN and ZSR: Contact your certification body or quality label well in advance.
- Assign services: Identify the appropriate tariff positions and quantities for your courses, subscriptions, and consultations.
- Prepare participant data: Check whether the participant's name, address, date of birth, gender, and AHV number can be recorded in full.
- Define the insurance process: Define how the correct health insurer and its GLN will be assigned.
- Clarify data protection requirements: Update your information, permissions, and retention and deletion policies.
- Define test cases: Plan tests for individual bookings, 10-session and annual subscriptions, missing required data, and corrections.
Corrections remain traceable
If the amount, service period, or participant data is incorrect, an issued receipt should not be altered manually after the fact. edoobox already supports invoice corrections by creating a cancellation invoice followed by a new invoice. The planned Tariff 595 feature will be integrated into this existing workflow.
Additional rules apply to direct transmission via eTG. According to the current FAQ, errors require the invoice to be cancelled in full and a new invoice to be issued.
Conclusion: Prepare now for easier invoicing later
From 2027, Tariff 595 will introduce additional requirements, but it will also create a clearer and more consistent invoicing process. The key is to organise the required information early and assign your services to the correct tariff positions.
The planned edoobox feature will integrate this task into the familiar booking and invoicing workflow. Participant data, the service period, the amount, and payment information will not need to be entered again in a separate system. The Tariff 595 XML will be generated from the invoice, technically validated, and made available for download or sending.
Before the feature is released, you can prepare your GLN, ZSR, tariff positions, participant data, and data protection processes. This leaves enough time for testing before January 1, 2027. If you need help with setup, the edoobox team will guide you personally through the next steps.
Sources and further information
- Forum Datenaustausch: Publication of Tariff 595
- Forum Datenaustausch: Current tariff reference data
- Forum Datenaustausch: XML 5.0 invoice standard, XSD, and examples
- Helsana: Tariff 595 and electronic invoicing
- Guidance on Tariff 595, version dated March 3, 2026
- Tariff 595 FAQ, version dated March 3, 2026
- QualiCert: Tariff 595, GLN, and ZSR
- Federal Social Insurance Office: Use of the AHV number
- FDPIC: Technical and organisational data protection measures
- edoobox: Participant data fields
- edoobox: Managing invoices and cancellation invoices
Note: This article is provided for general information only and does not constitute legal, tax, or insurance advice. The latest documents issued by Forum Datenaustausch, the insurers, and the responsible certification body take precedence.
Frequently asked questions about Tariff 595 and edoobox
Is Tariff 595 legally mandated from 2027?
From January 1, 2027, participating insurers and industry organisations will require Tariff 595 for health promotion services under the VVG. It is not a generally binding tariff requirement for compulsory basic health insurance.
Does a Tariff 595 invoice guarantee reimbursement?
No. The health insurer will continue to check the provider's recognition status, the insured service, the coverage, and the maximum reimbursable amount.
Is a standard PDF invoice sufficient?
A self-generated PDF invoice is not equivalent to an XML 5.0 invoice. Machine-readable processing requires the structured XML file or the standardised representation.
Is the service billed through the AHV?
No. The AHV number is used on the reimbursement receipt solely to identify the insured person unambiguously. The service is assessed by the private supplementary health insurer.
Is electronic transmission via eTG mandatory?
No. According to current information, direct transmission is voluntary. Customers can continue to submit the reimbursement receipt to their supplementary insurer themselves.
Can Tariff 590 and Tariff 595 be used on the same invoice?
The two service areas should be clearly separated and invoiced using the appropriate ZSR numbers. If you are unsure, contact the responsible certification body.
Is the Tariff 595 feature already available in edoobox?
Not yet. According to the information provided, the feature is in the final stages of preparation. The exact release date and setup steps will be communicated separately.


