How to register with Sistema TS: the complete 2026 guide

Registering with Sistema TS (Italy's Health Card System) is compulsory for all healthcare professionals. This article guides you step by step.

What Sistema TS (Italy's Health Card System) is and why it is mandatory

Sistema TS (Tessera Sanitaria, Italy's Health Card System) is the platform of the Agenzia delle Entrate (Italian Revenue Agency). It allows healthcare professionals to report patients' medical expenses.

Access to Sistema TS (Italy's Health Card System) is required by law. All healthcare professionals must register and send their service data.

Sistema TS (Italy's Health Card System) tracks patients' tax deductions. The data are used for the pre-filled Italian tax return and to check healthcare reimbursements.

Who must register with Sistema TS (Italy's Health Card System)

Registration is mandatory for the following healthcare professionals:

• General practitioners (MMG): All GPs must register.
• Medical specialists: Cardiologists, dermatologists, paediatricians and other specialists.
• Physiotherapists: Professionals who provide healthcare services.
• Licensed psychologists: Clinical and psychological psychologists carrying out healthcare work.
• Dentists and dental hygienists: All dentistry professionals.
• Clinical nutritionists: Professionals practising medical nutrition.
• Speech therapists: Rehabilitation healthcare professionals.
• Osteopaths on the professional register: Recognised healthcare professionals.

If you are a practising healthcare professional, you must register. It makes no difference whether you are an employee or self-employed.

Documents and requirements for registration

Before starting registration, gather the following documents and information:

• Tax code: Your personal tax code.
• REA number: REA business register number (if you are a business owner).
• VAT number: Active VAT number (if applicable).
• Registration number with the professional Ordine: Registration with the medical register or professional body.
• Telephone contacts: Mobile and landline number.
• Practice/work address: The address where you practise.
• Active email: Email address where you will receive messages and credentials.
• Valid identity document: To verify your identity during the process.

Make sure all the details are correct and up to date. Errors in the documents delay approval of the registration.

Step-by-step guide: How to register on sistemats.it

Follow these steps to complete your registration with Sistema TS online.

Step 1: Log in to the sistemats.it portal

Open your browser and go to the official website sistemats.it (the Agenzia delle Entrate portal).

From the homepage, look for the "Registrazione operatori sanitari" (healthcare professional registration) button. Click this link to start the process.

If you cannot find it easily, go to "Area riservata" (restricted area) or "Login" and select "Non sei ancora registrato?" (not registered yet?).

Step 2: Choose the type of professional

The system asks you to select your professional category. Choose the one that matches your profile.

The options include: general practitioner, specialist, physiotherapist, psychologist, dentist, nutritionist and other categories.

This choice matters because it determines the data required in the following steps.

Step 3: Enter your personal details

Fill in the form with your personal details:

• First and last name
• Tax code
• Date of birth
• Gender
• Place of birth
• Identity document number

Check every field carefully. The system automatically verifies this data against the Anagrafe tributaria (Italy's tax registry).

Step 4: Enter your professional details

Now enter the details of your professional activity:

• Registration number with the professional body or register
• Province of the Ordine of registration
• Date of registration with the professional body
• VAT number (if you have one)
• REA number (if you have a business)
• Address where the profession is practised
• Town and province of the practice

Check the information with your professional body. Incorrect details cause the registration to be rejected.

Step 5: Create your login credentials

The system asks you to create a username and password to access the portal.

Username: Choose a username you will remember easily. It can contain letters and numbers.

Password: Create a strong password with at least 8 characters. Include upper case, lower case, numbers and symbols.

Write these credentials down somewhere safe. You will use them to access the Sistema TS every time.

Step 6: Enter email and telephone contacts

Provide a valid, active email address to receive communications from the system.

The email address is used to confirm registration and for important communications from the Agenzia delle Entrate (Italian Revenue Agency).

Also enter a mobile number and a landline number (if available). This data is used for urgent contact.

Step 7: Check and confirm the data

Review all the data entered. The system shows a summary of the registration.

Check every section carefully: personal details, professional details, credentials.

If you find errors, use the "Back" button to correct them. If everything is correct, proceed to the next step.

Step 8: Accept the terms and submit the registration

Read the Sistema TS terms and conditions of use. You must accept them to continue.

Tick the "Accetto i termini e le condizioni" (I accept the terms and conditions) box. Then click the "Completa registrazione" (complete registration) or "Invia" (send) button.

You will receive a confirmation message. Keep the case number: you may need it for support.

Step 9: Activate your account by email

Check your email (including the spam folder). You will find a message from the Agenzia delle Entrate (Italian Revenue Agency).

The message contains an activation link. Click the link to confirm your email.

If the link expires, you can request a new one from the sistemats.it portal.

Step 10: Make your first login

Go back to sistemats.it. Log in with the username and the password you created.

If login is successful, registration is complete. You will see the Sistema TS dashboard.

You can now send healthcare service data directly from the portal.

Registration approval times

After the registration is submitted, the Agenzia delle Entrate (Italian Revenue Agency) checks the data provided.

Registration complete: Approval usually takes place within 5-10 working days.

Registration with corrections: If data is missing, you will receive an email requesting corrections.

Registration rejected: In rare cases, the registration is rejected. Check your email for the reasons for the rejection.

During the waiting period, you can already log in to the portal with your credentials.

What to do after registering: Send the data to the Sistema TS

Once registration is complete, the next step is to send the service data.

Sistema TS (Italy's Health Card System) accepts data in two ways:

• Manual upload: You can enter the data service by service from the portal.
• Software integration: Your practice management software can connect to Sistema TS automatically.

For professionals with many patients, automatic integration is more efficient.

Common problems and solutions

Forgotten password or login problems

If you cannot remember the password, select "Password dimenticata" (forgotten password) on the login page.

You will receive an email with a link to reset the password. Create a new password and log in again.

Confirmation email not received

Check your email spam folder. Add sistemats.it to your safe contacts.

If you still do not receive it, log in to the portal and request a new verification link.

"Data not found" message during registration

This happens when the system cannot find your details in the Anagrafe tributaria (Italian tax register). Check the tax code.

If the code is correct, contact the Agenzia delle Entrate (Italian Revenue Agency) before trying to register again.

Registration rejected: invalid Ordine number

Check the professional register number. It must be exact and still active.

Contact your professional body to confirm the details. Then try registering again.

Support and useful contacts

If you have trouble during registration, here are the official contacts:

• Agenzia delle Entrate: Tel. 800 909 696 (free phone number)
• Support email: supporto@sistemats.it (check on the official website)
• Case number: Keep the number you receive at the end of registration.
• Live chat: Available on sistemats.it during office hours.
• FAQs and guides: Check the portal's FAQ section for common problems.

Agenzia delle Entrate (Italian Revenue Agency) support is available Monday to Friday from 8 to 20.

Automate data submission to Sistema TS (Italy's Health Card System) with BeebeeDoc

Registration is only the first step. The real work begins when you have to send the data regularly.

Sending each service manually to Sistema TS (Italy's Health Card System) takes time and increases the risk of errors.

BeebeeDoc solves this problem. It is the cloud medical practice management software designed for healthcare professionals like you.

With BeebeeDoc you can:

• Recording services once in your digital diary.
• Send automatically the data to Sistema TS every month.
• Managing patients and digital clinical records.
• Generate receipts and tax documents automatically.
• Synchronise invoices, payments received and deductions.
• Monitor payslip for employed or contracted doctors.

BeebeeDoc is the perfect link between your practice and Sistema TS (Italy's Health Card System). You no longer have to worry about deadlines or forgotten submissions.

Try BeebeeDoc free for 15 days. No credit card needed. All your data stays private and secure in the cloud.

Conclusion: You are ready to register with Sistema TS (Italy's Health Card System)

Registration with the Sistema TS is compulsory for all healthcare professionals. The procedure is simple if you follow it step by step.

Remember: gather all the required documents before you start. Check every detail carefully. There are no shortcuts: accuracy is essential.

After registering, automate data submission with software such as BeebeeDoc. You will save time every month and remove manual errors.

The Sistema TS (Italy's Health Card System) is an important tool for tax and healthcare transparency. Register now and start managing your services professionally.