Medical Billing Claims Basics — Flashcards

Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider organizations.
A medical claim is a bill that healthcare providers submit to a patient's insurance provider. This bill contains unique medical codes detailing the care administered during a patient visit. The medical codes describe any service that a provider used to render care, including: A diagnosis.

Every time a patient sees a clinician for medical treatment or evaluation, a medical chart is kept. Medical coders review the medical chart and extract billable information that they then translate into standardized codes.