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Medical Billing Flow Chart

This medical billing flow chart outlines the process from a patient visit to a provider's front office to insurance billing and payment. It shows that the billing office handles converting visit details to insurance formats, submitting claims to insurance companies, and following up on payments or denials with cash posting and accounts receivable management. Key steps include preliminary screening of visits, dispatching to a clearing house, and claim adjudication by insurance companies.

Uploaded by

Karna Palanivelu
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© Attribution Non-Commercial (BY-NC)
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11K views1 page

Medical Billing Flow Chart

This medical billing flow chart outlines the process from a patient visit to a provider's front office to insurance billing and payment. It shows that the billing office handles converting visit details to insurance formats, submitting claims to insurance companies, and following up on payments or denials with cash posting and accounts receivable management. Key steps include preliminary screening of visits, dispatching to a clearing house, and claim adjudication by insurance companies.

Uploaded by

Karna Palanivelu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Medical Billing Flow Chart

Front Billing Office in


Patient PROVIDER
Office US

Billing office
in INDIA

Clearing
Scanning
House

Preliminary Conversion to
Insurance Dispatch
Screening Registration and
Specific format
Charge Entry

Claims
Payment /
Transmission
Denial

INSURANCE COMPANIES

Cash
Posting

Communication of Claim Pre-edit/Audit


Decision Adjudication A/R
Follow Up

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