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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 LAUREL
Ppa Medical Write review for this local business
14435 Cherry Lane Ct Ste 405, Laurel, MD 20707
(301) 953-1266  
Dg Medical Billing Write review for this local business
14311 Chapel Cove Ct, Laurel, MD 20707
(301) 362-0195  
Online Medical Billing Write review for this local business
5010 Sunnyside Ave, Beltsville, MD 20705
(301) 513-9007  
Jls Physician Billing Services Inc Write review for this local business
7120 Morning Walk, Columbia, MD 21046
(410) 953-0343  
D & B Medical Management Solutions Write review for this local business
8830 Stanford Blvd, Columbia, MD 21045
(410) 872-9188  
Maximus Medical Billing LLC Write review for this local business
17912 Shotley Bridge Pl, Olney, MD 20832
(301) 774-1320  
MD Billers of Maryland Write review for this local business
13703 Frankfort Ct, Rockville, MD 20853
(240) 621-7934  
Medical Billing Sydtematic Inc Write review for this local business
2133 Defense Hwy Ste 203, Crofton, MD 21114
(410) 721-6133  
Professional Accounts Management Services Write review for this local business
405 Frederick Rd Ste 110, Catonsville, MD 21228
(410) 744-7267  
Accounts Receivables Management Write review for this local business
7400 Inwood Ave, Catonsville, MD 21228
(410) 719-0020  
Akshar Health Care Solutions, LLC Write review for this local business
1246 Frances Pl, Catonsville, MD 21228
(410) 747-1475  
Ereta Hirata DR Write review for this local business
20 Carters Rock Ct, Catonsville, MD 21228
(410) 744-6251  
Benefits Coordination LLC Write review for this local business
5750 Bou Ave, Rockville, MD 20852
(301) 230-0001  
Meridian Financial Management Write review for this local business
251 Najoles Rd Ste A, Millersville, MD 21108
(443) 274-2900  
Meridian Financial Management Inc. Write review for this local business
251 Najoles Rd, Millersville, MD 21108
(443) 679-3332  
Total-Enterprise Medical Management Write review for this local business
9500 Arena Dr Ste 460C, Upper Marlboro, MD 20774
(301) 772-6007  
Just Bill IT Medical Management Write review for this local business
9315 Lavall Dr, Upper Marlboro, MD 20774
(240) 296-0456  
Foreman LLC Write review for this local business
211 Harry S Truman Dr, Upper Marlboro, MD 20774
(301) 636-4469  
Georgetown Radiation Medicine Billing Office Write review for this local business
3800 Reservoir Rd NW, Washington, DC 20007
(202) 687-7977  
Summit Anesthesia & Perioperative Management Write review for this local business
5309 4th St, Brooklyn, MD 21225
(410) 525-3833  
Practice Made Perfect Write review for this local business
10215 Fernwood Rd, Bethesda, MD 20817
(301) 571-9780  
The Business S Write review for this local business
6835 Olney Laytonsville Rd, Gaithersburg, MD 20882
(301) 519-9200  
Metropolitan Medical Billing Write review for this local business
6606 Liberty Ter, Gwynn Oak, MD 21207
(410) 594-8159  
Medical Billing & Recovery Write review for this local business
3704 Chesholm Rd, Baltimore, MD 21216
(410) 566-5270  
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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