EOB (Explanation Of Benefits) After a claim processes in medical billing, payment follows. Each payment is accompanied by an explanation of benefits, or EOB. The EOB is sent to the patient and the provider to show how the claim processed. It also le...

                                                 Superbill A superbill is an itemized form, used by healthcare providers in the United States, which details the services provided to a patient. It is the main data source for creation of a healthcare claim, which will be submi...

                                   Diagnosis Diagnosis describe any diseases, illnesses or injuries a patient may have. It can be represented in a claim as ICD 10  code. ICD-10 codes are alphanumeric codes used by doctors, health insurance companies, and public health agencies acr...

                                         Procedure code Procedure code denotes CPT (Current Procedural Terminology) which is a set of medical codes used by physicians, healthcare professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to des...

Timely Filing Limit The time frame for a claim submitted to the insurance is referred as a timely filing limit. It is set by the insurance companies to submit the initial claim for the service rendered. If a claim is submitted after the time frame from the service date, the claim will be denied as t...

Medical Billing and Credentialing What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing process is also called as RCM (Revenue Cycle ...