Behind the Scenes: How Medical Billers
Process Claims

Understanding how medical claims work is crucial for medical billers to efficiently manage the billing process. They follow a systematic approach, which includes:

• Patient Registration: Gathering essential patient information and insurance details to initiate the billing process.
• Medical Coding: Assigning appropriate codes to procedures and services rendered during the patient's visit.
• Claims Submission: Transmitting the coded claims electronically to insurance companies for reimbursement.
• Payment Processing: Handling received payments and reconciling them with outstanding balances.
• Denial Management: Resolving claim denials and submitting appeals, if necessary.

ProMD's expert medical billers diligently navigate this process, ensuring accuracy and timely reimbursement for healthcare providers.

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