The ELEPHANT is a complex administrative system for medical and psychological practices. It covers the entire admistration and documentation of patients as well as the settlement directions of the German Federate Health Insurance society (Deutsche Kassenärztliche Bundesvereinigung KBV). It has been certified and licensed by the KBV. The ELEPHANT is currently available in German only. Because of the specific settlement directions its use is only sensible in the area of the Federal Republic Germany.