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A Few Facts You Would Want To Know Regarding Electronic Medical Billing

By Marylin Silverstein

Electronic medical billing is the process of the submitting claims to insurance companies by electronic means and following up on them for the purpose of receiving payment for services provided by a health care professional. The process used is similar for most insurance companies regardless of the fact of whether they are privately owned or administered by the government.

What has been labeled as the billing process has been said to be an interaction that occurs between the entity providing the health care and the one that pays for it, also known as the insurance company. When an individual that is the owner of a policy visits the office of a health care provider the billing process begins. Files on the individual are either created or updated depending on if he, or she, has been there before.

Once the one seeking health care has left the office the data in the file that pertains to him, or her, is then used to determine the services to be billed to the insurance company. A claim is then submitted either manually or through electronic means, a paperless procedure that often speeds up the process.

After a claim has reached the insurance company it is reviewed by a medical claim examiner, or adjuster, or a medical director for the determination of its validity. Once the claim has been determined to be true then reimbursement of it in the form of a percentage of the billed amount is then paid. In contrast if the claim has been rejected the provider will then be notified of the failure.

When the notice of rejection reaches the health care provider the claim must be revised, corrected and then resubmitted. This rejection and resubmission cycle often repeats numerous times until payment in full has been given or until the provider of the care accepts a payment that is not complete.

The means to accomplish the medical billing process in a way that is electronic is what is called electronic medical billing. The time that had been taken up through the billing process and the processing of a claim is much reduced in comparison to more conventional methods.

Choose the best ways for electronic medical billing by searching online. There you will find many choices for medical billing companies that you may want to use. Head online and discover more today.

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Article Citation
MLA Style Citation:
Silverstein, Marylin "A Few Facts You Would Want To Know Regarding Electronic Medical Billing." A Few Facts You Would Want To Know Regarding Electronic Medical Billing. 22 Aug. 2010. 19 Jan 2015 <>.

APA Style Citation:
Silverstein, M (2010, August 22). A Few Facts You Would Want To Know Regarding Electronic Medical Billing. Retrieved January 19, 2015, from

Chicago Style Citation:
Silverstein, Marylin "A Few Facts You Would Want To Know Regarding Electronic Medical Billing"

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