If we all think of medical billing, we think the doctor your claim to the insurance carrier and, either directly to control him, or in some cases, to the patient to pay for services rendered. But what happens if the claim is not what happens if the patient has to bite the bullet and pay for these services? How does the doctor or clinic always, because not all insurance companies. At this rate, we 'll go on the normal medical procedures, including payroll, some additional things that need to be taken by the patients.

For most medical billing software packages, you get pretty much everything you need to make a request to send and receive payment of the carrier. But what happens if the carrier does not pay? What happens to the money? It can not just sit there in the non-system. It has a certain way of determining which patients at the end because of money. Well, it is and in most cases this is how it works.

The software, which will then be a page. On this page, to all the information about what is invoiced, together with the costs. But the really important part is what the customer fields. You have a field for primary, one for secondary schools, one for higher education and one for the patient.

If there is an item that they already know is not covered by insurance or no insurance, the patient, the patient area. If the item is, then, that the client is invoiced, it is checked off. In most cases this will be primary. But in some cases where the item is only 80% of primary, secondary insurance will be canceled if the patient has secondary insurance. But what if they do not? Here it is a little more complicated.

What is the sum calculated for the primary. Suppose that the element 100 U.S. Dollar. The primary bill is the $ 80 and the remaining 20% or $ 20 goes to the patient compared to column. In this way, the software knows that the patient owes this much money for the item that was billed.

Okay, now it's time to actually bill the patient. Please remember that the submission of claims to pay is not the same as billing a patient. They are billing the insurance carrier and the hope that they pay. After the payment, the balance, if there is one, has to be borne by the patient. This amount is always ends in the patient into account.

The next step is to report the patients on all accounts to see how much money is owed by each patient. After the report is executed, there is usually an option, an invoice for the individual patient. The proper form must first be loaded into the printer before using it.

This is of course very simplified, but basically this is the procedure which, if the patient has to pay for a medical claim. Yes, medical billing can be fairly complicated, if insurance does not pick up the tab.

Michael Russell

Your independent guide to Medical Billing