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The Associations of Statutory Health Insurance Physicians represent the interests of registered contract doctors and at Länder level. They are responsible for ensuring that out-patient medical treatment is provided at a suitable quality level and within the geographical reach of the population throughout the respective Federal Land. The Associations of Statutory Health Insurance Physicians verify the invoices presented by the registered contract doctors for their factual and mathematical accuracy and plausibility, and decide on awarding their licences. When it comes to misconduct on the part of registered contract doctors, they can take countermeasures, and even withdraw their licences if the worst comes to the worst.
There is one Association of Statutory Health Insurance Physicians in each Federal Land. Only North Rhine-Westphalia has one Association of Statutory Health Insurance Physicians for the North Rhine area and one for Westphalia-Lippe.