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The payer does not have to know content of therapy session though. Just have two databases and practice good separation of concerns.

John Doe | Street 1234 | Therapy | 6 Units | $12,367

That is way less interesting information than what we are discussing here...

> The payer does not have to know content of therapy session though. Just have two databases and practice good separation of concerns.

A lot of detailed information is often required for the payer to green-light the actual treatment, at least in Germany.

Ideally the payer also wants/needs to keep track of what was already done and for what reasons.

Even if you keep all of that to a minimum, you still end up with a fair bit of meta-data that allows for rather detailed insights.