Practice bookkeeping, without the practice manager doing it at night.
A dedicated bookkeeper who reconciles insurer settlements and patient payments, processes supplier invoices and keeps your VAT-exempt and taxable activities apart, in your practice and accounting software.
Hundreds of small claims, settlements from insurers and factoring companies, and VAT rules that depend on the treatment.
Dental, physiotherapy, GP, veterinary and other practices in the Netherlands and Belgium have a bookkeeping profile that confuses generalists: revenue arrives as insurer settlements, factoring payouts (Infomedics, Famed, Anders Medical Factoring) and patient payments; most medical services are VAT-exempt but cosmetic treatments, products and some veterinary work are not; and practice costs need to be allocated between practitioners.
Haven Teams bookkeepers are trained for this. They work in your practice-management and accounting software, reconcile every settlement to the underlying claims, post supplier invoices with the right VAT treatment, follow up patient receivables politely and prepare cost allocations per practitioner for your accountant.
Settlements hard to reconcile
Insurer and factoring payouts net of fees and rejections rarely match the claims sent.
Mixed VAT treatment
Exempt treatments, taxable products and cosmetic work on the same day need careful splitting.
Practitioner cost allocation
Multi-practitioner practices need costs and revenue split fairly and transparently.
Every settlement matched, every cost in the right place.
- Reconciling insurer, factoring and patient payments to claims in your practice software
- Processing supplier invoices for materials, lab work, equipment and premises with correct VAT treatment
- Keeping VAT-exempt and taxable revenue apart and preparing the VAT return for your accountant
- Patient receivable follow-up with your templates and tone
- Cost and revenue allocation per practitioner, chair or location
- A monthly practice overview for the owners: revenue by source, costs and outstanding claims
Our bookkeepers see financial data, not medical records. They work on locked-down virtual desktops inside your systems, and medical data protection obligations are covered in the data processing agreement we sign with every client.
- From
- €1,600 per team member per month
- Hours
- EU business day, 09:00–17:30 CET
- Pilot
- 2-week pilot at half the fee
Questions we get asked
Do your bookkeepers have access to patient medical records?
No. They work only with the financial and billing modules of your software, under your permission settings. Access is logged and covered by our GDPR data processing agreement and confidentiality obligations.
Do you understand the VAT exemption for medical services?
Yes. Our bookkeepers are trained on the medical VAT exemption and its limits in both the Netherlands and Belgium, including cosmetic treatments and product sales. Your accountant reviews the VAT return before filing.
Can you work with Infomedics, Famed or other factoring companies?
Yes. We reconcile factoring payouts to the claims sent, including fees, rejections and corrections, and report what remains outstanding.
Which practice software do you know?
Common Dutch and Belgian practice systems such as Exquise, Simplex, Intramed, Medicom and Animana, with accounting in Exact, Twinfield, Yuki, Moneybird or Octopus. We train on yours before the pilot.
Other sectors and tasks
Each page explains how the same desk works for a different kind of organisation.
White-label bookkeepers who work in your practice software, under your name, for your clients.
Read moreE-commerce & webshopsMarketplace payouts, payment-provider settlements, OSS VAT and thousands of small transactions, reconciled.
Read moreHospitality (horeca)Daily takings, tips, split VAT rates, supplier invoices and payroll inputs for restaurants, hotels and groups.
Read moreConstruction & tradesProject costing, subcontractor invoices, reverse-charge VAT, retention and G-rekening administration.
Read moreProperty management & VvE administrationService-charge accounting, owners' association bookkeeping, rent ledgers and annual statements for property managers.
Read moreLogistics & transportFuel cards, tolls, driver expenses, CMR-backed invoicing and international VAT for carriers and forwarders.
Read moreAccounts payableInvoice capture, three-way matching, approvals and payment runs, done daily so suppliers are paid on time.
Read moreVAT returns (btw-aangifte)Monthly and quarterly VAT returns, ICP listings and reconciliations prepared for your accountant's sign-off, NL and BE.
Read morePeppol e-invoicingBelgium made B2B e-invoicing mandatory in 2026. Get your sending, receiving and processing running properly.
Read moreYear-end preparationReconciled balance sheets, lead sheets and supporting schedules so your accountant can close faster.
Read moreCredit control & debtor managementPolite, persistent follow-up on open invoices so your cash comes in on time.
Read moreRelated desks: Finance Desk · Security Operations Desk · Tech Support Desk
Get your practice settlements reconciled for two weeks.
One dedicated practice bookkeeper on your real data, with accuracy and turnaround agreed upfront. Half the monthly fee, credited if you continue.