Telecommunications billing is the group of processes of communications service providers that are responsible to collect consumption data, calculate charging and billing information, produce bills to customers, process their payments and manage debt collection.
Part of the US health system's reimbursement process
Medical billing is a payment practice within the United States healthcare system.
The process involves the systematic submission and processing of healthcare claims for reimbursement.
Once the services are provided, the healthcare provider creates a detailed record of the patient's visit, including the diagnoses, procedures performed, and any medications prescribed.
This information is translated into standardized codes using the appropriate coding system, such as ICD-10-CM or Current Procedural Terminology codes—this part of the process is known as medical coding.
These coded records are submitted by medical billing to the health insurance company or the payer, along with the patient's demographic and insurance information.
Most insurance companies use a similar process, whether they are private companies or government sponsored programs.
The insurance company reviews the claim, verifying the medical necessity and coverage eligibility based on the patient's insurance plan.
If the claim is approved, the insurance company processes the payment, either directly to the healthcare provider or as a reimbursement to the patient.
The healthcare provider may need to following up on and appealing claims.
Telecommunications billing is the group of processes of communications service providers that are responsible to collect consumption data, calculate charging and billing information, produce bills to customers, process their payments and manage debt collection.
