Follow the steps to successfully complete your form

1. Click the ‘Get Form’ button to obtain the DE Barmer 40200SAP document. This will allow you to view and fill in the details necessary for your application.
2. In the 'Absender' section, ensure you enter your personal details correctly, including your Versicherungsnummer (insurance number) and the date of your application.
3. Indicate the country of your stay and the reason for your stay. You will have options such as 'privat' (private), 'beruflich' (business), or 'zur gezielten Behandlung' (for targeted treatment).
4. List your diagnosis or diagnoses in the appropriate field. Include details regarding any affected body part as necessary.
5. Specify whether the treatment was due to an accident by selecting 'ja' (yes) or 'nein' (no) in the provided options.
6. Indicate if you have submitted the European Health Insurance Card (EHIC) or foreign health certificate and whether it has been recognized.
7. For each treatment or invoice, fill out the date, time, and location of the treatment. Choose if it was an outpatient or inpatient procedure and specify the type of treatment received.
8. In the 'Verordnete Hilfsmittel/Heilmittel/Medikamente' section, list any prescribed aids, remedies, or medications.
9. Select your preference for reimbursement rates: either the German contract rates or the applicable rates abroad. Acknowledge the potential for a longer processing time for requests involving foreign rates.
10. Provide your bank details for reimbursement, including the account holder name, IBAN, and BIC.
11. Attest that original invoices are attached, and indicate whether the invoices have already been paid by checking the appropriate box.
12. If you have insurance with a BARMER cooperative partner, consent to the forwarding of your application to the insurance provider. Ensure you understand the data processing consent.
13. Complete the form by providing your location, date, and signature before submitting the form.
14. Once you have filled out the form, you can save your changes, download a copy, print it, or share it as needed.

Start completing your DE Barmer 40200SAP online today for a smooth reimbursement process.