Electronic Claims
Revenue Cycle
100

Connects providers directly to payer systems

What is Direct Billing

100

Outstanding balance of money owed to the provider by insurance company or patients

What is account receivables (AR)

200

Standard Unique Identifier

What is NPI

200

Phase dictated the financial success of every patient scheduling, and pre-registration, collecting information

What is Front End Operations

300

Health Care common Procedure Coding System for non CPT procedures, including implants, supplies and certain services

What is HCPCS

300

Admit mistakes promptly, acknowledge feelings, listen actively

What is Empathy and Respect

400

Patient and insurance details (name, dob, member ID policy information) are entered accurately into the billing system

What is Data Collection

400

Meaning to demand payment for a debt are automated or manual communication

What is Dunning messages

500

The claim is converted into an 837 EDI file

What is EDI File Generation

500
Front office staff verify patients' coverage and determine if prior approval is needed before treament

What is Pre-Authorization & Eligibility