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Check </h1> <div class="score-hero-body"> <!-- XhtmlString.cshtml Display Template Start --> <p>Are the costs justified and related to the accident? Are they billed correctly according to DRG? We answer these questions and more as part of our medical invoice check.</p> <!-- XhtmlString.cshtml Display Template End --> </div> <div class="score-call-to-action"> <a href="/en-de/products/medical-invoice-check/#contact" target="_self" class="score-button verisk-button primary md" title="Contact us" > <div class="inner-content-wrapper"> <span class="button-title">Contact us<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg> </span> </span> </div> </a> </div> </div> </div> </div> </div> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ] " id="block-111329"> <section class="score-stripe flexible-stripe no-bg-image-on-mobile bg-default " style="" data-epi-type="content"> <div class="container justify-center"> <div class="w-full"> <div class="section-header justify-center"> <H2 class=""> Medical expertise taking centre stage </H2> <div class="subtitle rich-text justify-center"> <!-- XhtmlString.cshtml Display Template Start --> <p>When it comes to medical invoices, a comprehensive review is useful in order to determine which costs are justified and must be covered by the insurers. The billing of medical service providers is complex and prone to errors. An audit of medical treatment invoices and care expenses therefore requires both in-depth medical and nursing expertise.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> </section> </div> <div class="card-stripe-container [ grid__item grid__item__full ] [ full-bleed ] bg-default columns-three" id="block-111330" > <section class="score-stripe slim-no-image-cards no-bg-image-on-mobile " style="" data-epi-type="content"> <div class="pagination-target"></div> <div class="container justify-center"> <div class="w-full"> <div class="section-header justify-center"> <H2 class=""> Rely on experts for a professional and thorough invoice check </H2> <div class="subtitle rich-text justify-center"> <!-- XhtmlString.cshtml Display Template Start --> <p>With the medical invoice check, we enable an objective assessment of risks and potential reductions in claims and benefits settlement – as your medical back office.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="content-area justify-center"> <div class="card-container stripe-card-column"> <div class="score-card primary slim slim-without-image verisk-default featured bg-primary-radical-blue" id="block-111332"> <div class="caption"> <H2 class="card__title"> Objective Assessments </H2> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Our assessment is based on sound specialist knowledge as well as current fee schedules, guidelines, legislation and therapy standards.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary slim slim-without-image verisk-default featured bg-primary-radical-blue" id="block-111352"> <div class="caption"> <H2 class="card__title"> 8-14% sustainable cuts </H2> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Reduced claims expenditure and process efficiency mean you save twice. The audit report will show you a recommendation as a basis for further settlement, e.g. in recourse.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary slim slim-without-image verisk-default featured bg-primary-radical-blue" id="block-111353"> <div class="caption"> <H2 class="card__title"> Settlement support through specialists </H2> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Our team of (specialist) doctors, nursing experts, medical billing experts, coding experts and more ensures that every invoice is checked with the necessary medical expertise.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> </div> </div> </div> </div> <div class="blog-pagination"> </div> </section> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ]"> <section style="" class="section-hero-block-container no-bg-image-on-mobile bg- bg-alt-white-3 circular-image"> <div class="container justify-center"> <div class="w-full"> <div class="content-area"> <div class="section-hero-block"> <div class="page-layout w-7col"> <div class="score-section-hero"> <h2 class=""> How are medical invoices checked? </h2> <div class="score-hero-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <ul> <li>Medical necessity with regard to the consequences of the accident</li> <li>Correctness of invoicing (e.g. DRG, GOÄ and GOZ)</li> </ul> <p>Additionally in SVT recourse:</p> <ul> <li>Causality</li> <li>Plausibility</li> </ul> <p>Objective assessment through:</p> <ul> <li>(Specialist) doctors</li> <li>Nursing experts / nursing staff</li> <li>Medical billing experts</li> <li>Coding experts</li> <li>Dental experts</li> <li>Physiotherapists</li> <li>and more </li> </ul> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> <div class="page-layout image-wrapper w-5col"> <div class="score-section-hero"> <h2 class=""> How are medical invoices checked? </h2> </div> <img src="/4a60dc/contentassets/be3617465a64418494c61f1748d32a4f/man-sitting-at-desk.jpg/_croppings/gray-scarf-round.jpg" alt="Man Sitting At Desk " loading="lazy" class="score-image "> </div> </div> </div> </div> </div> </section> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ]"> <section style="" class="section-hero-block-container no-bg-image-on-mobile media-left bg- circular-image"> <div class="container justify-center"> <div class="w-full"> <div class="content-area"> <div class="section-hero-block"> <div class="page-layout w-7col"> <div class="score-section-hero"> <h2 class=""> Where we support you in medical invoice check </h2> <div class="score-hero-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <ul> <li>Motor liability insurance</li> <li>General liability insurance</li> <li>Hospital and medical liability insurance</li> <li>Private accident insurance</li> <li>Life insurance/occupational disability insurance</li> <li>Long-term care insurance</li> <li>Private health insurance</li> </ul> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> <div class="page-layout image-wrapper w-5col"> <div class="score-section-hero"> <h2 class=""> Where we support you in medical invoice check </h2> </div> <img src="/49d0c2/contentassets/72dc42c93a8e44e3b01d55cc72ec9685/medical-invoice-check.jpg/_croppings/gray-scarf-round.jpg" alt="Medical Invoice Check " loading="lazy" class="score-image "> </div> </div> </div> </div> </div> </section> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ]"> <div class="testimonial-carousel contain bg-primary-global-blue " style="background-image: url('');" id="block-111340"> <div class="container"> <div class="carousel__swiper"> <div class="swiper"> <div class="swiper-wrapper"><div class="swiper-slide "> <div class="score-card testimonial-card featured "> <div class="caption"> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>The auditors' expertise guarantees a well-founded evaluation of the claims with regard to the treatment of accident injuries, the guidelines applicable at the time of the accident and the correct application of coding guidelines. The cooperation brings us sustainable savings of around ten percent of the original claims.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="testimonial-personal-details"> <h4 >Marco Becker</h4> <p >DEVK Versicherungen</p> <p >Head of Department Sach/HUK-Schaden</p> </div> </div> </div> </div><div class="swiper-slide "> <div class="score-card testimonial-card featured "> <div class="caption"> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>With the invoice check, we were able to achieve considerable cost savings after just a short time. We mainly use Verisk for moderate and complex bodily injury claims and have worked closely with the competent team to create a process that takes our individual claims settlement requirements into account. Particularly in the case of serious bodily injury claims with long or complex healing processes, the medical advice has become indispensable for the correct assessment.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="testimonial-personal-details"> <h4 >Silke Rimmelspacher</h4> <p >R+V Allgemeine Versicherung AG</p> <p >Department Director Motor and Accident Claims</p> </div> </div> </div> </div></div> <div class="swiper-pagination"></div> <a aria-disabled="false" aria-label="Previous Slide" class="score-button verisk-button false default secondary md swiper-button-prev" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title"><span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> <a aria-disabled="false" aria-label="Next Slide" class="score-button verisk-button false default secondary md swiper-button-next swiper-button-disabled" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title"><span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> </div> </div> </div> </div> </div> <div class="card-stripe-container [ grid__item grid__item__full ] [ full-bleed ] bg-default columns-three" id="block-111337" > <section class="score-stripe image-cards no-bg-image-on-mobile " style="" data-epi-type="content"> <div class="pagination-target"></div> <div class="container justify-center"> <div class="w-full"> <div class="section-header justify-center"> <H2 class=""> Facts and figures </H2> </div> <div class="content-area justify-center"> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal center product no-borders featured " id="block-111339"> <div class="image-wrapper"> <div class="image-wrapper-sub"> <img src="/4a672b/contentassets/95b75395b8994ca9850e470ad2635ecc/handshake-shield.svg" loading="lazy" class="score-image img-fluid" alt="Handshake Shield "> </div> </div> <div class="caption"> <H2 class="card__title"> 90+ insurance customers </H2> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal center product no-borders featured " id="block-111365"> <div class="image-wrapper"> <div class="image-wrapper-sub"> <img src="/4a6745/contentassets/63d6cce78b9d49a6bd80aaa741c75b0f/document-compliance.svg" loading="lazy" class="score-image img-fluid" alt="Document Compliance "> </div> </div> <div class="caption"> <H2 class="card__title"> 210.000+ medical invoices checked </H2> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal center product no-borders featured " id="block-111366"> <div class="image-wrapper"> <div class="image-wrapper-sub"> <img src="/4a6743/contentassets/79887857a79e450aa92d3c6d07597979/column-graph-down-trend.svg" loading="lazy" class="score-image img-fluid" alt="Column Graph Down Trend "> </div> </div> <div class="caption"> <H2 class="card__title"> 8-14 % sustainable cuts dependent on segment mix (Ø) </H2> </div> </div> </div> </div> </div> </div> <div class="blog-pagination"> </div> </section> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ]"> <section style="background-image: url('');" class="section-hero-block-container no-bg-image-on-mobile bg- bg-primary-global-blue no-media"> <div class="container justify-center"> <div class="w-full"> <div class="content-area"> <div class="section-hero-block"> <div class="page-layout w-9col"> <div class="score-section-hero"> <h2 class=""> Reimagine medical invoice check now! </h2> <div class="score-hero-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Download the product flyer with all information at a glance.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> </div> </div> <div class="page-layout w-3col"> <div class="score-section-hero"> <div class="score-call-to-action"> <a href="/4a709d/siteassets/global/de-de/medizinische-rechnungen-fachlich-und-fundiert-prufen-lassen.pdf" target="_blank" class="score-button verisk-button primary md" title="Learn more" > <div class="inner-content-wrapper"> <span class="button-title">Learn more<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg> </span> </span> </div> </a> </div> </div> </div> </div> </div> </div> </div> </section> </div> <div class="card-stripe-container [ grid__item grid__item__full ] [ full-bleed ] bg-default columns-three" id="block-111367" > <section class="score-stripe standard-cards no-bg-image-on-mobile " style="" data-epi-type="content"> <div class="pagination-target"></div> <div class="container justify-center"> <div class="w-full"> <div class="section-header justify-center"> <H2 class=""> Reimagine your claims management </H2> <div class="subtitle rich-text justify-center"> <!-- XhtmlString.cshtml Display Template Start --> <p>Optimise the entire claims management process with our full suite of solutions.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="content-area justify-center"> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal standard featured" id=""> <div class="image-wrapper"> <a href="/en-de/products/medical-data-collection/" aria-label="Optimise the procurement and assessment of medical records" target="_self"> <img src="/4a631a/contentassets/9dc499254bde4e019a47883571905a14/medical-professional-recording-patient-information-on-tablet.jpg/_croppings/product-detail-page-standard-card.jpg" loading="lazy" class="score-image img-fluid" alt="Medical Professional Recording Patient Information On Tablet "> </a> </div> <div class="caption"> <a href="/en-de/products/medical-data-collection/" alt="Optimise the procurement and assessment of medical records" target="_self"> <H4 class="card__title"> Optimise the procurement and assessment of medical records </H4> </a> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Risk management requires data. Receive all relevant medical information from medical reports, certificates and questionnaires with a well-founded assessment for the efficient settlement of bodily injury claims.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="score-call-to-action" > <a aria-label="Learn about Medical Data Collection" class="score-button verisk-button score-button verisk-button tertiary md" href="/en-de/products/medical-data-collection/" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title">Learn about Medical Data Collection<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> </div> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal standard featured" id=""> <div class="image-wrapper"> <a href="/en-de/products/medical-expert-assessments/" aria-label="Making informed decisions based on medical assessments" target="_self"> <img src="/4a72f8/contentassets/a03544e04b31445591dc782cdaa34627/tablet-and-laptop-on-table-with-stethoscope.jpg/_croppings/product-detail-page-standard-card.jpg" loading="lazy" class="score-image img-fluid" alt="Tablet And Laptop On Table With Stethoscope "> </a> </div> <div class="caption"> <a href="/en-de/products/medical-expert-assessments/" alt="Making informed decisions based on medical assessments" target="_self"> <H4 class="card__title"> Making informed decisions based on medical assessments </H4> </a> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>If your medical and care expertise reaches its limits, we offer and arrange any form of medical assessment – whether on the basis of files or with a physical examination.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="score-call-to-action" > <a aria-label="Learn about Medical Assessments" class="score-button verisk-button score-button verisk-button tertiary md" href="/en-de/products/medical-expert-assessments/" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title">Learn about Medical Assessments<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> </div> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal standard featured" id=""> <div class="image-wrapper"> <a href="/en-de/products/claims-benefits-settlement/" aria-label="Let specialists settle your claims efficiently and expertly" target="_self"> <img src="/4a66d6/contentassets/d5c0bcdbd3c84844a7f506088db7b269/row-of-customer-service-workers-with-headsets.jpg/_croppings/product-detail-page-standard-card.jpg" loading="lazy" class="score-image img-fluid" alt="Row Of Customer Service Workers With Headsets "> </a> </div> <div class="caption"> <a href="/en-de/products/claims-benefits-settlement/" alt="Let specialists settle your claims efficiently and expertly" target="_self"> <H4 class="card__title"> Let specialists settle your claims efficiently and expertly </H4> </a> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Our teams of experts support the claims and benefits settlement of various insurance lines to the desired level of integration: from selective relief of certain activities to case-closing settlement of bodily injury, motor and property claims.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="score-call-to-action" > <a aria-label="Learn about Claims and Benefits Settlement" class="score-button verisk-button score-button verisk-button tertiary md" href="/en-de/products/claims-benefits-settlement/" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title">Learn about Claims and Benefits Settlement<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> </div> </div> </div> </div> <div class="card-container stripe-card-column"> <div class="score-card primary horizontal standard featured" id=""> <div class="image-wrapper"> <a href="/en-de/products/claims-agent/" aria-label="Higher productivity frees up capacity for essential activities" target="_self"> <img src="/4a7c6a/contentassets/8606e32c6c9e4454aa0b33a449bccce4/professional-reviewing-data-on-screen.jpg/_croppings/product-detail-page-standard-card.jpg" loading="lazy" class="score-image img-fluid" alt="Professional Reviewing Data On Screen "> </a> </div> <div class="caption"> <a href="/en-de/products/claims-agent/" alt="Higher productivity frees up capacity for essential activities" target="_self"> <H4 class="card__title"> Higher productivity frees up capacity for essential activities </H4> </a> <div class="score-card-body"> <div class="rich-text"> <!-- XhtmlString.cshtml Display Template Start --> <p>Smart assistants turn complex medical or legal documents into clear, structured case summaries – in just minutes.</p> <!-- XhtmlString.cshtml Display Template End --> </div> </div> <div class="score-call-to-action" > <a aria-label="Learn about Claims Agent" class="score-button verisk-button score-button verisk-button tertiary md" href="/en-de/products/claims-agent/" rel="noreferrer" target="_self"><div class="inner-content-wrapper"><span class="button-title">Learn about Claims Agent<span class="button-svg-wrapper"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" class="icon"> <path fill="#000000" d="M310.6 233.4c12.5 12.5 12.5 32.8 0 45.3l-192 192c-12.5 12.5-32.8 12.5-45.3 0s-12.5-32.8 0-45.3L242.7 256 73.4 86.6c-12.5-12.5-12.5-32.8 0-45.3s32.8-12.5 45.3 0l192 192z"> </path> </svg></span></span></div></a> </div> </div> </div> </div> </div> </div> </div> <div class="blog-pagination"> </div> </section> </div> <div class="[ grid__item grid__item__full ] [ full-bleed ] " id="contact"> <section class="score-stripe flexible-stripe no-bg-image-on-mobile bg-default " style="" data-epi-type="content"> <div class="container justify-center"> <div class="w-full"> <div class="section-header justify-center"> <H2 class=""> Contact us to learn more </H2> </div> <div 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required.\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}}]},{\"targetElementName\":\"__field_120087\",\"targetElementId\":\"9f43379c-1926-4a73-b6fb-ceef8fd9ad26\",\"validators\":[{\"type\":\"EPiServer.Forms.Implementation.Validation.RequiredValidator\",\"description\":null,\"model\":{\"message\":\"This field is required.\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}}]},{\"targetElementName\":\"__field_35084\",\"targetElementId\":\"b885ebd3-5ad2-422c-9af2-3811ed8d00c2\",\"validators\":[{\"type\":\"EPiServer.Forms.Samples.Implementation.Validation.RecaptchaValidator\",\"description\":null,\"model\":{\"message\":\"Invalid reCAPTCHA value, please try again.\",\"validationCssClass\":null,\"additionalAttributes\":null}}]}]"), // Steps information for driving multiple-step Forms. StepsInfo : { Steps: [{"index":0,"attachedUrl":"","dependField":null,"dependCondition":null,"isActive":true,"attachedContentLink":"","dependValue":"","elementName":"__field_","guid":"00000000-0000-0000-0000-000000000000"}] }, FieldsExcludedInSubmissionSummary: [], ElementsInfo: JSON.parse("{\"__field_35078\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"firstName\",\"customBinding\":false},\"__field_35079\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"lastName\",\"customBinding\":false},\"__field_35080\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"emailAddress\",\"customBinding\":false},\"__field_35082\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"company\",\"customBinding\":false},\"__field_35081\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"title\",\"customBinding\":false},\"__field_120087\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"country\",\"customBinding\":false},\"__field_120106\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextareaElementBlock\",\"friendlyName\":\"comments\",\"customBinding\":false},\"__field_35117\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SubmitButtonElementBlock\",\"friendlyName\":\"Submit\",\"customBinding\":false}}"), DataSubmitController: "/EPiServer.Forms/DataSubmit", }; /// TECHNOTE: Calculation at FormInfo level, and these values will be static input for later processing. workingFormInfo.StepsInfo.FormHasNoStep_VirtualStepCreated=true; // this FLAG will be true, if Editor does not put any FormStep. Engine will create a virtual step, with empty GUID workingFormInfo.StepsInfo.FormHasNothing=false; // this FLAG will be true if FormContainer has no element at all workingFormInfo.StepsInfo.AllStepsAreNotLinked=true; // this FLAG will be true, if all steps all have contentLink= ="" (emptyString) })(); </script> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormName" value="GLB: glb-de-clm-sales-support-1257" data-f-type="hidden" autocomplete="off" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormGuid" value="0e9c223f-3878-4a09-a56d-d4b0af0aceb6" data-f-type="hidden" autocomplete="off" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormHostedPage" value="111317" data-f-type="hidden" autocomplete="off" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormLanguage" value="en-DE" data-f-type="hidden" autocomplete="off" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormCurrentStepIndex" value="0" data-f-type="hidden" autocomplete="off" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormSubmissionId" value="" data-f-type="hidden" autocomplete="off" /> <div class="Form__Status"> <div role="alert" aria-live="polite" class="Form__Status__Message hide" data-f-form-statusmessage> </div> </div> <div data-f-mainbody class="Form__MainBody"> <section id="68fbf4ed-057c-4c51-ad97-37fdcf6d2581" data-f-type="step" data-f-element-name="__field_" class="Form__Element FormStep Form__Element--NonData " data-f-stepindex="0" data-f-element-nondata> <!-- Each FormStep groups the elements below it til the next FormStep --> <div class=" "> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_35078" data-f-type="textbox"> <label for="c3d65aff-af7b-4496-aa59-65011b2a2914" class="Form__Element__Caption">First Name</label> <input name="__field_35078" id="c3d65aff-af7b-4496-aa59-65011b2a2914" type="text" class="FormTextbox__Input" aria-describedby="__field_35078_desc" placeholder="First Name" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError" data-f-linked-name="__field_35078" data-f-validationerror="" id="__field_35078_desc" role="alert" style="display:none"></span></div></div><div class=" "> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_35079" data-f-type="textbox"> <label for="b866e49a-ba5f-41c1-bffc-cafc7e7e7fee" class="Form__Element__Caption">Last Name</label> <input name="__field_35079" id="b866e49a-ba5f-41c1-bffc-cafc7e7e7fee" type="text" class="FormTextbox__Input" aria-describedby="__field_35079_desc" placeholder="Last Name" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError" data-f-linked-name="__field_35079" data-f-validationerror="" id="__field_35079_desc" role="alert" style="display:none"></span></div></div><div class=" "> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_35080" data-f-type="textbox"> <label for="33a8c375-9386-4c39-aa8b-4236bceb44ae" class="Form__Element__Caption">Business Email</label> <input name="__field_35080" id="33a8c375-9386-4c39-aa8b-4236bceb44ae" type="text" class="FormTextbox__Input" aria-describedby="__field_35080_desc" placeholder="Business Email" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError" data-f-linked-name="__field_35080" data-f-validationerror="" id="__field_35080_desc" role="alert" style="display:none"></span></div></div><div class=" "> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_35082" data-f-type="textbox"> <label for="d6c214b8-683c-4b6c-a2d8-d58ea009a64e" class="Form__Element__Caption">Company</label> <input name="__field_35082" id="d6c214b8-683c-4b6c-a2d8-d58ea009a64e" type="text" class="FormTextbox__Input" aria-describedby="__field_35082_desc" placeholder="Company" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError" data-f-linked-name="__field_35082" data-f-validationerror="" id="__field_35082_desc" role="alert" style="display:none"></span></div></div><div class=" "> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_35081" data-f-type="textbox"> <label for="7c6009d9-8d06-4151-9e35-1c1ebd40d9fb" class="Form__Element__Caption">Title</label> <input name="__field_35081" id="7c6009d9-8d06-4151-9e35-1c1ebd40d9fb" type="text" class="FormTextbox__Input" aria-describedby="__field_35081_desc" placeholder="Title" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError" data-f-linked-name="__field_35081" data-f-validationerror="" id="__field_35081_desc" role="alert" style="display:none"></span></div></div><div class=" "> <div class="Form__Element FormSelection ValidationRequired" data-f-element-name="__field_120087" data-f-type="selection"> <label for="9f43379c-1926-4a73-b6fb-ceef8fd9ad26" class="Form__Element__Caption">Country</label> <select name="__field_120087" id="9f43379c-1926-4a73-b6fb-ceef8fd9ad26" required aria-required="true" data-f-datainput aria-describedby="__field_120087_desc" autocomplete="off"> <option disabled="disabled" value=""> -- Select an option -- </option> <option value="DE" selected data-f-default-value="true" data-f-datainput>Germany</option> <option value="US" data-f-datainput>United States</option> <option value="GB" data-f-datainput>United Kingdom</option> <option value="AF" data-f-datainput>Afghanistan</option> <option value="AL" data-f-datainput>Albania</option> <option value="DZ" data-f-datainput>Algeria</option> <option value="AS" data-f-datainput>American Samoa</option> <option value="AD" data-f-datainput>Andorra</option> <option value="AO" data-f-datainput>Angola</option> <option value="AI" data-f-datainput>Anguilla</option> <option value="AQ" data-f-datainput>Antarctica</option> <option value="AG" data-f-datainput>Antigua and Barbuda</option> <option value="AR" data-f-datainput>Argentina</option> <option value="AM" data-f-datainput>Armenia</option> <option value="AW" data-f-datainput>Aruba</option> <option value="AU" data-f-datainput>Australia</option> <option value="AT" data-f-datainput>Austria</option> <option value="AZ" data-f-datainput>Azerbaijan</option> <option value="BS" data-f-datainput>Bahamas</option> <option value="BH" data-f-datainput>Bahrain</option> <option value="BD" data-f-datainput>Bangladesh</option> <option value="BB" data-f-datainput>Barbados</option> <option value="BY" data-f-datainput>Belarus</option> <option value="BE" data-f-datainput>Belgium</option> <option value="BZ" data-f-datainput>Belize</option> <option value="BJ" data-f-datainput>Benin</option> <option value="BM" data-f-datainput>Bermuda</option> <option value="BT" data-f-datainput>Bhutan</option> <option value="BO" data-f-datainput>Bolivia</option> <option value="BA" data-f-datainput>Bosnia and Herzegovina</option> <option value="BW" data-f-datainput>Botswana</option> <option value="BR" data-f-datainput>Brazil</option> <option value="IO" data-f-datainput>British Indian Ocean Territory</option> <option value="BN" data-f-datainput>Brunei Darussalam</option> <option value="BG" data-f-datainput>Bulgaria</option> <option value="BF" data-f-datainput>Burkina Faso</option> <option value="BI" data-f-datainput>Burundi</option> <option value="KH" data-f-datainput>Cambodia</option> <option value="CM" data-f-datainput>Cameroon</option> <option value="CA" data-f-datainput>Canada</option> <option value="CV" data-f-datainput>Cape Verde</option> <option value="KY" data-f-datainput>Cayman Islands</option> <option value="CF" data-f-datainput>Central African Republic</option> <option value="TD" data-f-datainput>Chad</option> <option value="CL" data-f-datainput>Chile</option> <option value="CN" data-f-datainput>China</option> <option value="CX" data-f-datainput>Christmas Island</option> <option value="CC" data-f-datainput>Cocos (Keeling) Islands</option> <option value="CO" data-f-datainput>Colombia</option> <option value="KM" data-f-datainput>Comoros</option> <option value="CG" data-f-datainput>Congo</option> <option value="CD" data-f-datainput>Congo (RD)</option> <option value="CK" data-f-datainput>Cook Islands</option> <option value="CR" data-f-datainput>Costa Rica</option> <option value="CI" data-f-datainput>Cote d'Ivoire</option> <option value="HR" data-f-datainput>Croatia</option> <option value="CU" data-f-datainput>Cuba</option> <option value="CY" data-f-datainput>Cyprus</option> <option value="CZ" data-f-datainput>Czech Republic</option> <option value="DK" data-f-datainput>Denmark</option> <option value="DJ" data-f-datainput>Djibouti</option> <option value="DM" data-f-datainput>Dominica</option> <option value="DO" data-f-datainput>Dominican Republic</option> <option value="EC" data-f-datainput>Ecuador</option> <option value="EG" data-f-datainput>Egypt</option> <option value="SV" data-f-datainput>El Salvador</option> <option value="GQ" data-f-datainput>Equatorial Guinea</option> <option value="ER" data-f-datainput>Eritrea</option> <option value="EE" data-f-datainput>Estonia</option> <option value="ET" data-f-datainput>Ethiopia</option> <option value="FK" data-f-datainput>Falkland Islands</option> <option value="FO" data-f-datainput>Faroe Islands</option> <option value="FJ" data-f-datainput>Fiji</option> <option value="FI" data-f-datainput>Finland</option> <option value="FR" data-f-datainput>France</option> <option value="GF" data-f-datainput>French Guiana</option> <option value="PF" data-f-datainput>French Polynesia</option> <option value="TF" data-f-datainput>French Southern Terr.</option> <option value="GA" data-f-datainput>Gabon</option> <option value="GM" data-f-datainput>Gambia</option> <option value="GE" data-f-datainput>Georgia</option> <option value="GH" data-f-datainput>Ghana</option> <option value="GI" data-f-datainput>Gibraltar</option> <option value="GR" data-f-datainput>Greece</option> <option value="GL" data-f-datainput>Greenland</option> <option value="GD" data-f-datainput>Grenada</option> <option value="GP" data-f-datainput>Guadeloupe</option> <option value="GU" data-f-datainput>Guam</option> <option value="GT" data-f-datainput>Guatemala</option> <option value="GN" data-f-datainput>Guinea</option> <option value="GW" data-f-datainput>Guinea-Bissau</option> <option value="GY" data-f-datainput>Guyana</option> <option value="HT" data-f-datainput>Haiti</option> <option value="HM" data-f-datainput>Heard/McDonald Isls.</option> <option value="HN" data-f-datainput>Honduras</option> <option value="HK" data-f-datainput>Hong Kong</option> <option value="HU" data-f-datainput>Hungary</option> <option value="IS" data-f-datainput>Iceland</option> <option value="IN" data-f-datainput>India</option> <option value="ID" data-f-datainput>Indonesia</option> <option value="IR" data-f-datainput>Iran</option> <option value="IQ" data-f-datainput>Iraq</option> <option value="IE" data-f-datainput>Ireland</option> <option value="IL" data-f-datainput>Israel</option> <option value="IT" data-f-datainput>Italy</option> <option value="JM" data-f-datainput>Jamaica</option> <option value="JP" data-f-datainput>Japan</option> <option value="JO" data-f-datainput>Jordan</option> <option value="KZ" data-f-datainput>Kazakhstan</option> <option value="KE" data-f-datainput>Kenya</option> <option value="KI" data-f-datainput>Kiribati</option> <option value="KP" data-f-datainput>Korea (North)</option> <option value="KR" data-f-datainput>Korea (South)</option> <option value="KW" data-f-datainput>Kuwait</option> <option value="KG" data-f-datainput>Kyrgyzstan</option> <option value="LA" data-f-datainput>Laos</option> <option value="LV" data-f-datainput>Latvia</option> <option value="LB" data-f-datainput>Lebanon</option> <option value="LS" data-f-datainput>Lesotho</option> <option value="LR" data-f-datainput>Liberia</option> <option value="LY" data-f-datainput>Libya</option> <option value="LI" data-f-datainput>Liechtenstein</option> <option value="LT" data-f-datainput>Lithuania</option> <option value="LU" data-f-datainput>Luxembourg</option> <option value="MO" data-f-datainput>Macau</option> <option value="MK" data-f-datainput>Macedonia</option> <option value="MG" data-f-datainput>Madagascar</option> <option value="MW" data-f-datainput>Malawi</option> <option value="MY" data-f-datainput>Malaysia</option> <option value="MV" data-f-datainput>Maldives</option> <option value="ML" data-f-datainput>Mali</option> <option value="MT" data-f-datainput>Malta</option> <option value="MH" data-f-datainput>Marshall Islands</option> <option value="MQ" data-f-datainput>Martinique</option> <option value="MR" data-f-datainput>Mauritania</option> <option value="MU" data-f-datainput>Mauritius</option> <option value="YT" data-f-datainput>Mayotte</option> <option value="MX" data-f-datainput>Mexico</option> <option value="FM" data-f-datainput>Micronesia</option> <option value="MD" data-f-datainput>Moldova</option> <option value="MC" data-f-datainput>Monaco</option> <option value="MN" data-f-datainput>Mongolia</option> <option value="MS" data-f-datainput>Montserrat</option> <option value="MA" data-f-datainput>Morocco</option> <option value="MZ" data-f-datainput>Mozambique</option> <option value="MM" data-f-datainput>Myanmar</option> <option value="MP" data-f-datainput>N. Mariana Isls.</option> <option value="NA" data-f-datainput>Namibia</option> <option value="NR" data-f-datainput>Nauru</option> <option value="NP" data-f-datainput>Nepal</option> <option value="NL" data-f-datainput>Netherlands</option> <option value="AN" data-f-datainput>Netherlands Antilles</option> <option value="NC" data-f-datainput>New Caledonia</option> <option value="NZ" data-f-datainput>New Zealand</option> <option value="NI" data-f-datainput>Nicaragua</option> <option value="NE" data-f-datainput>Niger</option> <option value="NG" data-f-datainput>Nigeria</option> <option value="NU" data-f-datainput>Niue</option> <option value="NF" data-f-datainput>Norfolk Island</option> <option value="NO" data-f-datainput>Norway</option> <option value="OM" data-f-datainput>Oman</option> <option value="PK" data-f-datainput>Pakistan</option> <option value="PW" data-f-datainput>Palau</option> <option value="PS" data-f-datainput>Palestinian Territory, Occupied</option> <option value="PA" data-f-datainput>Panama</option> <option value="PG" data-f-datainput>Papua New Guinea</option> <option value="PY" data-f-datainput>Paraguay</option> <option value="PE" data-f-datainput>Peru</option> <option value="PH" data-f-datainput>Philippines</option> <option value="PN" data-f-datainput>Pitcairn</option> <option value="PL" data-f-datainput>Poland</option> <option value="PT" data-f-datainput>Portugal</option> <option value="PR" data-f-datainput>Puerto Rico</option> <option value="QA" data-f-datainput>Qatar</option> <option value="RE" data-f-datainput>Reunion</option> <option value="RO" data-f-datainput>Romania</option> <option value="RU" data-f-datainput>Russian Federation</option> <option value="RW" data-f-datainput>Rwanda</option> <option value="KN" data-f-datainput>Saint Kitts and Nevis</option> <option value="LC" data-f-datainput>Saint Lucia</option> <option value="WS" data-f-datainput>Samoa</option> <option value="SM" data-f-datainput>San Marino</option> <option value="ST" data-f-datainput>Sao Tome/Principe</option> <option value="SA" data-f-datainput>Saudi Arabia</option> <option value="SN" data-f-datainput>Senegal</option> <option value="CS" data-f-datainput>Serbia and Montenegro</option> <option value="SC" data-f-datainput>Seychelles</option> <option value="SL" data-f-datainput>Sierra Leone</option> <option value="SG" data-f-datainput>Singapore</option> <option value="SK" data-f-datainput>Slovak Republic</option> <option value="SI" data-f-datainput>Slovenia</option> <option value="SB" data-f-datainput>Solomon Islands</option> <option value="SO" data-f-datainput>Somalia</option> <option value="ZA" data-f-datainput>South Africa</option> <option value="ES" data-f-datainput>Spain</option> <option value="LK" data-f-datainput>Sri Lanka</option> <option value="SH" data-f-datainput>St. Helena</option> <option value="PM" data-f-datainput>St. Pierre and Miquelon</option> <option value="VC" data-f-datainput>St. Vincent and Grenadines</option> <option value="SD" data-f-datainput>Sudan</option> <option value="SR" data-f-datainput>Suriname</option> <option value="SJ" data-f-datainput>Svalbard/Jan Mayen Isls.</option> <option value="SZ" data-f-datainput>Swaziland</option> <option value="SE" data-f-datainput>Sweden</option> <option value="CH" data-f-datainput>Switzerland</option> <option value="SY" data-f-datainput>Syria</option> <option value="TW" data-f-datainput>Taiwan</option> <option value="TJ" data-f-datainput>Tajikistan</option> <option value="TZ" data-f-datainput>Tanzania</option> <option value="TH" data-f-datainput>Thailand</option> <option value="TL" data-f-datainput>Timor-Leste</option> <option value="TG" data-f-datainput>Togo</option> <option value="TK" data-f-datainput>Tokelau</option> <option value="TO" data-f-datainput>Tonga</option> <option value="TT" data-f-datainput>Trinidad and Tobago</option> <option value="TN" data-f-datainput>Tunisia</option> <option value="TR" data-f-datainput>Turkey</option> <option value="TM" data-f-datainput>Turkmenistan</option> <option value="TC" data-f-datainput>Turks/Caicos Isls.</option> <option value="TV" data-f-datainput>Tuvalu</option> <option value="UM" data-f-datainput>US Minor Outlying Is.</option> <option value="UG" data-f-datainput>Uganda</option> <option value="UA" data-f-datainput>Ukraine</option> <option value="AE" data-f-datainput>United Arab Emirates</option> <option value="UY" data-f-datainput>Uruguay</option> <option value="UZ" data-f-datainput>Uzbekistan</option> <option value="VU" data-f-datainput>Vanuatu</option> <option value="VA" data-f-datainput>Vatican City</option> <option value="VE" data-f-datainput>Venezuela</option> <option value="VN" data-f-datainput>Viet Nam</option> <option value="VG" data-f-datainput>Virgin Islands (British)</option> <option value="VI" data-f-datainput>Virgin Islands (U.S.)</option> <option value="EH" data-f-datainput>Western Sahara</option> <option value="YE" data-f-datainput>Yemen</option> <option value="ZM" 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