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Understanding the Medical Billing Process: Step-by-Step

15 April 2025   02:18 Diperbarui: 15 April 2025   02:18 40
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For expert coding services, many clinics turn to firms like UMBSBillingServices.com, which employ certified coders trained in the latest coding updates.

Step 5: Charge Entry

Once the medical codes are prepared, they are entered into the billing system along with the charges for each service. This charge entry creates a superbill, which outlines:

  • Provider details

  • Patient information

  • Date of service

  • Diagnosis and procedure codes

  • Fees for each service

This step is crucial to ensure the bill reflects exactly what was done during the patient encounter.

Step 6: Claim Submission

With all codes and charges entered, the claim is submitted to the insurance payer---often electronically.

Steps in Claim Submission:

  • Use of standard formats like CMS-1500 or UB-04

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