the medical center of georgia
Medical Billing involves an interaction between a doctor and the client, which is usually a health insurance. There are several insurance companies and some of which are up to 15 different insurance companies. So the doctor has to do with a lot of this information and make it themselves clearly. The amount will be between the doctor and the company before he provides his services, and it will be after the contract has its own fees, accounting and billing address.

Authorized is a term that refers to the amount that is supported by the insurance company. Always only a reduced amount is paid by the company, and it is the physician must bill and collect the rest of the patients directly. This reduced amount is used as a "provider write off" or a "contractual adjustment." "The patient is given a definitive explanation of benefits (EOB) from his insurance said that about all the different transactions.

Here are some of the terms that you need to know. A Copay is a flat dollar "amount a member pays at the time is done. A coinsurance is a percentage of the allowable amount that the patient to pay. It is very often on surgical and / or diagnostic procedures. What about deductibles? It is the amount of the eligible costs must be a member each year before the health plan will pay for all eligible services.

With Medicare, the physician has two options. It can be either "participating" or "non-participation" and depending on this he will be "80% of eligible" and the patient is invoiced for the remainder of the claim amount. Medicaid also has its own policy. It is better to view all details of the premium, etc. from an insurance representative before deciding on health insurance.

The author of this article is Ricci Mathew of Outsource Strategies International (OSI), a U.S. firm offers services in Medical Coding, Medical Billing, Medical Transcription for clients in the U.S..