Medical billing service is a common method used after treatment of a patient to procure the charged amount from the insurance company covering the patient involved. A similar process of procurement is utilized by parastatal insurance firms and the personally owned types. A certificate course in this field is available for the workers who perform the billing process.

The process involves dealings between the health care institution and the assurance company the patient has registered with. This interface has come to be called the billing cycle. It can run the course of some months to complete and needs a couple of exchanges before conclusion.

The process commences after the concerned patient is treated and the hospital administration records the inventory into the patients records. The treatment is entered in a short form. The demographics of the patient are also entered including the name, age, sex, date of treatment and insurance policy number. The number of guarantor or guardian is used in the case of persons below the lower age limit.

Normally the disease course is entered. The chief complaints are also given or if available the diagnoses given by that health provider in the history of that patient. The cycle therefore contains very personal information on the patients which must be held in confidence.

The complexity of physical exam carried out is also documented including the intensity of service given to the patient. The level of service is recorded in a customary format made up of five integers. The verbal instructions and diagnoses are also entered in such a standardized manner.

The insurance firm is supposed to decipher the coded message it receives from the health care provider. The agency may accept to reimburse the hospital of the claimed treatment fees. It might also reject to cover such bills. This will force the hospital the revise such rejected claims and send them back to the insurer for consideration. This cycle may take place severally hence constituting the aforementioned cycle. Finally it may be covered or the hospital accepts a ration of the total charged.

The methods used by other insurance fields are also utilized in the medical billing service. Although the monthly fees may be a bother, the insurance cover saves one from more trouble of very expensive medical bills.

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