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2. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]

3. Explanation of benefits - Wikipedia

   en.wikipedia.org/wiki/Explanation_of_benefits

   An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:

4. Medical certificate - Wikipedia

   en.wikipedia.org/wiki/Medical_certificate

   Medical certificates are sometimes required to obtain certain health benefits from an employer, to make an insurance claim, for tax purposes, or for certain legal procedures. Medical certificates are used to indicate eligibility of activity, such as the use of disabled parking. Medical certificates can also be used to describe a medical ...

5. Health insurance - Wikipedia

   en.wikipedia.org/wiki/Health_insurance

   National Health Insurance is designed for those who are not eligible for any employment-based health insurance program. The Late-stage Elderly Medical System is designed for people who are age 75 and older. [[[Health insurance#Japan#{{{section}}}| contradictory]]] [41] National Health Insurance is organised on a household basis.

6. Health insurance in the United States - Wikipedia

   en.wikipedia.org/wiki/Health_insurance_in_the...

   In addition to medical expense insurance, "health insurance" may also refer to insurance covering disability or long-term nursing or custodial care needs. Different health insurance provides different levels of financial protection and the scope of coverage can vary widely, with more than 40% of insured individuals reporting that their plans do ...

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8. Credentialing - Wikipedia

   en.wikipedia.org/wiki/Credentialing

   In a health plan, the provider enrolls in the provider panel network. After the application is submitted and credentials are verified, the approval process will involve review and approval by the network's medical director or credentialing committee. Typically, insurance companies require credentialing for the following providers Physicians MDs ...

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