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Terms Related to Processing Medical Bills
The following are some terms that are related to processing medical bills:

Beneficiary: In relation to processing medical bills, a beneficiary is someone who is covered by a health insurance policy.

Capitation: Capitation is how much policyholders or their employers are required to pay a health insurance agency. This amount is not based on how often the policy is actually used.

Coinsurance: Coinsurance, often referred to as co-payment, is how much a person needs to pay toward medical bills before the health insurance agency will help cover expenses. Coinsurance is commonly represented by a certain percentage. In some cases there is a flat fee required whenever a beneficiary visits a hospital or medical office, though this amount is usually small.

Exclusion: Exclusions are parts of health insurance policies that outline specific items that are not covered by the plan. This may include certain things like plastic surgery that is deemed medically unnecessary.

Guaranteed Issue: A guaranteed issue insurance policy is one that grants coverage to an individual without regard to their income, age, current health, and similar factors. A guaranteed issue policy will continue to remain in effect so long as the policyholders continue to pay for it.

Medical Underwriting: Medical underwriting refers to health insurance companies determining an individual’s eligibility, or ineligibility, for coverage. This is also how the cost of the policy is determined.

Primary Care Provider: A primary care provider, or PCP, is the main healthcare physician that an individual visits. PCPs are usually general practitioners, not specialists.

Reasonable and Customary Fees: Reasonable and customary fees are essentially the average cost for medical services in a certain location. The amount that an insurance policy will pay for office visits, hospital care, and other medical services will be based on this amount.

Rider: A rider is a change of an insurance policy that typically alters included benefits or payment amounts.

Stop-loss: Stop-loss occurs when the policyholder has covered all deductions, co-payments, and other fees and the insurance company is paying for the entirety of all claims that are included on the policy.

American Medical Billing Association
Make sure you choose only the most reputable provider of medical bill processing services for your business or practice. Keep your patients happy and grow your businesses with help from our members.
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STANDARD LISTINGS:   MEDICAL-BILL-PROCESSING IN/NEAR HERNDON
Medassurant Write review for this local business
510 Spring St, Herndon, VA 20170
(703) 435-1230  
blah blah Write review for this local business
Herndon, VA 20170
(703) 668-4770  
Medical Management Concep Write review for this local business
1850A Town Center Pkwy, Reston, VA 20190
(703) 904-9358  
Maryam Billing Solutions LLC Write review for this local business
11250 Roger Bacon Dr, Reston, VA 20190
(703) 880-4273  
Target Medical Write review for this local business
13500 Clear Lake Ct, Herndon, VA 20171
(703) 713-6675  
Inficare Inc Write review for this local business
22375 Broderick Dr Ste 225, Sterling, VA 20166
(703) 430-9513  
Advanced Medical Billing Write review for this local business
11418 Waples Mill Rd, Oakton, VA 22124
(703) 758-1407  
Med-Strategies Write review for this local business
44121 Harry Byrd Hwy, Ashburn, VA 20147
(703) 729-7878  
Nova Medical Billing Write review for this local business
14153 Robert Paris Ct Ste B, Chantilly, VA 20151
(703) 870-7914  
Pmbts Write review for this local business
11513 Falls Rd, Potomac, MD 20854
(301) 765-7099  
Pmbts, Llc Write review for this local business
11513 Falls Rd, Potomac, MD 20854
(240) 614-2797  
Accurate Medical Billing Service Write review for this local business
10505 Judicial Dr, Fairfax, VA 22030
(703) 383-9534  
Practice Made Perfect Write review for this local business
10215 Fernwood Rd, Bethesda, MD 20817
(301) 571-9780  
Maximus Medical Billing Inc Write review for this local business
12805 W Old Baltimore Rd, Boyds, MD 20841
(301) 515-8330  
Physicians Billing Services Write review for this local business
6035 Burke Centre Pkwy Ste 390, Burke, VA 22015
(703) 978-7762  
Benefits Coordination LLC Write review for this local business
5750 Bou Ave, Rockville, MD 20852
(301) 230-0001  
Success Medical Billing Write review for this local business
8064 Stonewall Brigade Ct, Manassas, VA 20109
(703) 257-0400  
MCL Systems Limited Write review for this local business
10550 linden lake plaza, Manassas, VA 20109
(571) 758-5298  
Medical Billing Write review for this local business
8322 Traford Ln, Springfield, VA 22152
(703) 913-3503  
CK Medical Billing Write review for this local business
20305 Mallet Hill Ct., Germantown, MD 20876
(301) 972-1091  
Georgetown Radiation Medicine Billing Office Write review for this local business
3800 Reservoir Rd NW, Washington, DC 20007
(202) 687-7977  
MD Billers of Maryland Write review for this local business
13703 Frankfort Ct, Rockville, MD 20853
(240) 621-7934  
Maryam Billing Solutions LLC Write review for this local business
7350 Heritage Village Plz, Gainesville, VA 20155
(703) 743-5375  
Code Med Solutions LLC Write review for this local business
19804 Sovereign Ct, Germantown, MD 20876
(301) 540-4859  
If you work for a hospital or doctors office that does not have a medical bill processing department, then you might want to outsource those services to professional processors that have years of experience. You can find several medical bill processing companies in the directory and online, but you need to know what questions to ask them to help you choose the one that is best for you. Ask the processors how long they have been in business. If the processors have several years of experience in the health care industry, then they should be familiar with industry regulations. They should have a system that lets them charge individuals and private health care insurance companies for surgery, hospital stays, medicine, and procedures. Ask the company if they have equipment that will let them input the health care expenses into their system and print up the bills in a timely manner so that your business can get payment for the medical procedures that you provide your patients. While you need to be sure that you are getting processors that can give you all of the medical bill processing services that you need, you also want to pick someone with a good price. Ask the companies to give you a written price quote. When you have several quotes, you can compare them to determine which ones will help you save the most money. After all, if you have to pay a lot to outsource your billing, then you might have to charge your patients more money, which will make your company less competitive.


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