Clearinghouse is service to submit medical claims to insurance companies electronically, however not all medical billers use clearinghouse and some prefer to use software to submit the medical claims directly from office to insurance.
Clearinghouse acts as mediator between medical biller and insurance company. It dispatches the claims [...]
Medical billing cycle is the exact steps of the medical billing process that may differs from company to another medical billing company. But perfect medical billing cycle are 4 certain main stages, and each stage consists of certain steps, the 4 main stages of the perfect
The Authorization of the services
The network provider is not the one which gives you the authorization for your services, you get the authorization from the health plan, you only get the authorization from the provider when the patient is managed under Medipass.
Checking Patient Eligibility at Managed Care Plan
The [...]
Modifiers are codes which used in medical billing to indicate that the medical procedure or service performed has been changed under specific circumstances, or has been performed in different way.
Most used modifiers refer to medical procedures that have been done as professional or technical component, or [...]
Many people who have decided to start their career in medical billing may feel confused about some common terms in medical billing. We have tried to make the start less confusing and listed some of the most common used medical billing terms to make most of
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