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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.
Write review for this local business

STANDARD LISTINGS:   MEDICAL-BILL-PROCESSING IN/NEAR LEXINGTON
Medical Billing
1 review: *****
1101 Herr Ln, Louisville, KY 40222
(502) 425-1156 Write review for this local business

"They do everything one way. The right way. Demanding on receiving all information. Require patients insurance to be verified on every visit. ..."
Avant -Garde Medical Consultants LLC Write review for this local business
3166 Custer Dr Ste 203, Lexington, KY 40517
(859) 245-7748  
Commonwealth Physicians Billing Write review for this local business
870 Corporate Dr Ste 400, Lexington, KY 40503
(859) 277-1765  
Commonwealth Physicians Billing Write review for this local business
1725 Harrodsburg Rd, Lexington, KY 40504
(859) 278-2197  
Commonwealth Health Management Write review for this local business
151 N Eagle Creek Dr Ste 100, Lexington, KY 40509
(859) 263-4341  
Gateway Physician Billing Services Write review for this local business
250 Foxglove Dr, Mount Sterling, KY 40353
(859) 498-0026  
Williams Medical Billing Services Write review for this local business
300 Longview Park Pl, Louisville, KY 40245
(502) 718-0783  
Nishah Dave Write review for this local business
313 W Madison St, La Grange, KY 40031
(502) 225-6014  
Kentucky Medical Coding and Billing LLC Write review for this local business
1207 Wedgewood Dr, Bardstown, KY 40004
(502) 349-1405  
Kamp Medical Billing Write review for this local business
2610 Gleeson Way Ste 2A, Louisville, KY 40299
(502) 267-9813  
Adviri Write review for this local business
3223 Ruckriegel Pkwy, Louisville, KY 40299
(502) 499-2197  
Louisville Collectors & Associates, Inc. Write review for this local business
The Danville Building, Louisville, KY 40243
(502) 244-4144  
Experienced Medical Billing & Consltg Write review for this local business
822 Bracht Piner Rd, Morning View, KY 41063
(859) 291-9100  
TLC Processing Inc Write review for this local business
114 Floyd St Apt 4, Somerset, KY 42503
(606) 679-5837  
Avoca Write review for this local business
1700 Eastpoint Pkwy, Louisville, KY 40223
(502) 753-0680  
Embs Medical Billing Write review for this local business
3812 Taylorsville Rd, Louisville, KY 40220
(502) 451-9949  
Compu-Tech Medical Billing Inc Write review for this local business
75 Phillips Ln, London, KY 40741
(606) 878-2992  
A Plus Coding Consultants LLC Write review for this local business
6113 Estelle Ct, Louisville, KY 40219
(502) 614-8030  
Billing Gr The Physicians Write review for this local business
3618 Lexington Rd, Louisville, KY 40207
(502) 333-0842  
Medbill Solutions LLC Write review for this local business
2396 Bascom Corner Rd, Rising Sun, IN 47040
(812) 534-3996  
Emh Medical Billing Write review for this local business
123 Gardengate Ct, Shepherdsville, KY 40165
(502) 957-2356  
Professional Office Solutions Write review for this local business
5239 Cedar Grove Rd Ste 3, Shepherdsville, KY 40165
(502) 543-4100  
Sterling Medical Services Write review for this local business
2301 River Rd Ste 302, Louisville, KY 40206
(502) 814-3170  
Associates In Resource Management LLC Write review for this local business
590 Missouri Ave, Jeffersonville, IN 47130
(812) 218-8926  
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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