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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 PORTLAND
Brm Medical Billing Write review for this local business
5830 SW Gillcrest Ct, Portland, OR 97221
(503) 245-5970  
Reliant Medical Billing LLC Write review for this local business
7550 SE 32nd Ave, Portland, OR 97202
(503) 777-1858  
Uptown Medical Billing Write review for this local business
1829 NE Alberta St Ste 11, Portland, OR 97211
(503) 922-0200  
Telecom Medical Billing Systems Inc Write review for this local business
7302 N Richmond Ave, Portland, OR 97203
(503) 240-8000  
Milwaukie Med Billing Write review for this local business
14611 SE Cedar Ave, Portland, OR 97267
(503) 446-6437  
Moreno Billing Write review for this local business
18995 SW Westword St, Beaverton, OR 97007
(503) 718-1353  
Office Ally Write review for this local business
16703 SE Mcgillivray Blvd Ste 200, Vancouver, WA 98683
(360) 975-7000  
Fastnet Medical Billing Service Write review for this local business
109 N Main Ave, Gresham, OR 97030
(503) 674-3990  
Northwest Medical Billing Write review for this local business
N/A, Vancouver, WA 98685
(360) 573-5785  
MBA Medical Business Associates Write review for this local business
821350 Po Box, Vancouver, WA 98682
(360) 687-5221  
Priority Medical Billing Write review for this local business
13023 NE Highway 99, Vancouver, WA 98686
(360) 546-1825  
Rose City Medical Billing Service Write review for this local business
287 SE 32nd Ave, Hillsboro, OR 97123
(503) 615-3161  
Ameritek Medical Billing Service Write review for this local business
29405 NE 33rd St, Camas, WA 98607
(360) 834-3691  
NW Physician Billing Inc Write review for this local business
440 SW 14th Ct, Canby, OR 97013
(503) 263-9899  
Uptown Medical Billing Inc Write review for this local business
1410 S Township Rd, Canby, OR 97013
(503) 266-7600  
Rayn Management Services Write review for this local business
20517 NE 229th St, Battle Ground, WA 98604
(503) 925-3333  
Medclaim Billing & Resource Write review for this local business
39425 Trillium St, Sandy, OR 97055
(503) 826-9641  
Central Coast Medical Billing Services Write review for this local business
37300 S Hibbard Rd, Molalla, OR 97038
(503) 759-5300  
Evergreen Medical Billing Write review for this local business
405 Pacific Ave N, Kelso, WA 98626
(360) 636-6046  
Professional Associates Write review for this local business
7990 NW Ridgewood Dr, Corvallis, OR 97330
(541) 757-1379  
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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