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johntech
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What is the process of medical billing?

alicewi
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The process of medical billing involves insurance companies as a third party payer, which pays for the claims made. These claims are made using billing invoices for medical services, , including diagnosis, treatment, medicines and overall cost. It all happens under the billing cycle, which is also known as Revenue Cycle Management. This process covers making & managing claims, payment and billing. For it, many days to months may be covered because it requires interactions with medical biller, coder, patient and insurance companies. The medical biller is a third party that is a certified person who incorporates with insurance companies to provide support in these claim-making services. He meets a physician & tester to meet the medical record requirements of the patient. Here, a medical coder also takes the charge of assigning codes to the reports, diagnosis and related procedures. Once done digitally, the electronic data interchange is to be submitted in a file to make a claim.
Later medical claims examiners or adjusters process it upon evaluating the claim and its validity for payment.