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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 ZEBULON
D & G Billing Associates Write review for this local business
4128 Mangrove Dr, Raleigh, NC 27616
(919) 266-2619  
Med-Bill Write review for this local business
123 Capcom Ave Ste 4, Wake Forest, NC 27587
(919) 562-3456  
Symbiosis Medical Billing Solutions Write review for this local business
12316 Hampton Way Dr, Wake Forest, NC 27587
(919) 556-3985  
Physicians Billing Inc Write review for this local business
3022 Creek Moss Ave, Wake Forest, NC 27587
(919) 435-0647  
Raleigh Adult Medicine Write review for this local business
3200 Blue Ridge Rd Ste 210, Raleigh, NC 27612
(919) 781-9979  
Jmg Medical Billing Services Write review for this local business
5162 Highpoint Dr, Nashville, NC 27856
(252) 459-8215  
Medical Support Services Write review for this local business
539 Keisler Dr Ste 102, Cary, NC 27518
(919) 233-4866  
Solutions 4 MDs Inc Write review for this local business
2310 S Miami Blvd, Durham, NC 27703
(919) 544-6318  
Accudoc Solutions Write review for this local business
300 Dominion Dr Ste 400, Morrisville, NC 27560
(919) 835-4790  
Laboratory Corporation of America Write review for this local business
1912 Tw Alexander Dr, Durham, NC 27709
(919) 572-6648  
Medical Billing Management Inc Write review for this local business
1901 Landon Farms Ln, Durham, NC 27704
(919) 956-2626  
Digital Medical Billing Inc Write review for this local business
2106 Pilot Mountain Ct, Apex, NC 27502
(919) 367-0047  
Physician Revenue Services Write review for this local business
P.o. Box 5049, Durham13, NC 27713
(800) 775-0722  
Fast Chart Inc Write review for this local business
4220 Hwy 55 Suite 130B, Durham, NC 27713
(919) 477-5152  
Physician Revenue Write review for this local business
133 Radcliff Cir, Durham, NC 27713
(919) 224-8009  
Physicians Billing & Collections Inc Write review for this local business
1208 Blackburn Rd, Apex, NC 27502
(919) 629-8140  
Distinguished Billing Services LLC Write review for this local business
225 Edgecroft Way, Fuquay Varina, NC 27526
(919) 346-6700  
Physician Revenue Services Write review for this local business
6409 Fayetteville Road, Durham, NC 27713
(866) 991-6394  
Summit Physicians Services Inc Write review for this local business
3328 Guess Rd Ste 2D, Durham, NC 27705
(919) 620-5700  
Invex Medical Management Solution Inc Write review for this local business
211 E Divine St, Dunn, NC 28334
(910) 897-7049  
East Carolinas Medical Billing Write review for this local business
32 Forest Mountain Ct, Sanford, NC 27332
(919) 499-5553  
Professional Administration Write review for this local business
841 Bragg Blvd, Fayetteville, NC 28301
(910) 485-2543  
Klb Medical Billing Write review for this local business
100 Hay St Ste 402, Fayetteville, NC 28301
(910) 223-9878  
Integrity Billing Service Write review for this local business
109 W Atlantic St, South Hill, VA 23970
(434) 447-8580  
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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