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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 ROANOKE
Carilion Patient Financial Services Write review for this local business
213 S Jefferson St Ste 416, Roanoke, VA 24011
(540) 224-5900  
Medical Billing Advocates of America Inc Write review for this local business
2613 Puckett Cir, Salem, VA 24153
(540) 387-5043  
Itmeds LLC Write review for this local business
202 N Van Buren Rd, Eden, NC 27288
(336) 623-4545  
Stat Medical Consulting Inc Write review for this local business
1340 Confederate Blvd, Appomattox, VA 24522
(434) 352-7359  
Blue Ridge Medical Billing Write review for this local business
110 Valley St, Galax, VA 24333
(276) 236-2217  
Wilson Medical Billing Write review for this local business
3925 Bethania Station Rd, Winston Salem, NC 27106
(336) 924-8402  
Core Medical Billing LLC Write review for this local business
4280 Piedmont Pkwy Ste 101, Greensboro, NC 27410
(336) 553-1659  
Guilford County of Write review for this local business
1002 Meadowood St, Greensboro, NC 27409
(336) 641-7565  
Williams Electronic Billing Services Write review for this local business
5907 Pine Branch Dr, Greensboro, NC 27405
(910) 730-7581  
Medical Data Services Write review for this local business
420 W 4th St, Winston-Salem, NC 27101
(800) 613-5631  
Triad Medical Billing Write review for this local business
3504 Arzy Rd, East Bend, NC 27018
(336) 699-3959  
Browns Summit Medical Billing Write review for this local business
2311 W Cone Blvd Ste 144, Greensboro, NC 27408
(336) 285-9064  
Core Medical Billing Write review for this local business
711 Gallimore Dairy Rd Ste 102, High Point, NC 27265
(336) 553-3994  
Remedial Billing Solutions,LLC Write review for this local business
129 Spring Garden Cir, High Point, NC 27260
(336) 740-9778  
Medical Billing Unlimited Write review for this local business
3770 Clemmons Rd, Clemmons, NC 27012
(336) 712-0051  
Regional Physicians Billing Write review for this local business
624 Quaker Ln Ste D201, High Point, NC 27262
(336) 883-2500  
Medical Billing & Management Services LLC Write review for this local business
370 Neff Ave, Harrisonburg, VA 22801
(540) 434-0550  
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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