Patients
Often abbreviated MRN, this number is assigned to a specific patient when they first register.
What is a Member Registration Number.
This is the process that a patient goes through when they are being seen at a medical facility for the first time.
What is patient registration?
This code is put in the EHR and used in billing for a patient's specific condition.
What is a diagnosis code?
This a set dollar amount that the patient has to pay today in order to be seen by the provider. This number is set based upon the patient's insurance plan.
What is a co-pay?
Often abbreviated ptID and is used to identify a specific person being treated in a medical setting.
What is Patient ID?
A specific number used by the billing office to look up a total amount owed.
What is an account number?
This type of code, typically consisting of 5 numbers, is used to describe the specific service type and level provided.
What is a CPT code?
This is signed by a patient to authorize an office to share or obtain information from another medical provider or facility.
What is a release of information (ROI)?
This is a dollar amount that the patient has to pay every year before their insurance plan starts to cover charges.
What is a deductible?
The number assigned to a specific visit or appointment before it makes it to the billing process.
What is Encounter ID?
This check is run typically prior to an office visit to verify that a patient has current insurance coverage and to ensure the current coverage level is accurate in the PM system.
What is an eligibility check?
The provider who is typically a Family Practice or Internal Medicine that is the first caregiver that should be seen for new conditions. Some insurance types require this to be listed on the insurance card.
What is the Primary Care Provider?
This process is one where the billing office enters the dollar amounts and services to be paid by the insurance company.
What is charge entry?
The dollar amount that a billing office originally charges the insurance company for a procedure or service.
The number assigned to a specific visit or appointment after it makes it to the billing process.
What is a voucher ID?
This is the person on record who is financial responsible for the bill.
What is a guarantor?
This is the amount that is the difference between what the insurance company allows and what a provider's office charged. The office will not attempt to collect this amount.
What is a write-off amount?
Complete list of fees used by Medicare to pay doctors or other medical service providers.
What is a fee schedule?
This is a term that is used typically when providers are using a different PM system, but need to still collect outstanding charges.
What is A/R paydown?
This is a unique number used internally in the EHR in order to identify a specific doctor or other advanced Caregiver.
What is the provider ID?
This is required by most HMO and POS plans for a patient to see a specialist. Typically listed on the patient's registration form.
What is the referring provider?
This is the most current standard for diagnosis codes, which contains more information than the last standard.
What is ICD-10 coding system?
This replaced the paper remittance advice that was received along with payment to a provider from an insurance company.
What is ERA (Electronic Remittance Advice)?
This is the amount that an insurance company will pay a provider based upon the offices contract.
What is the contract rate?
This unique number is regularly used in EHRs like Allscripts to identify a different portions of the chart that have been merged together.
What is an internal ID?