unit 5 the life cycle of a claim

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University of New Orleans *

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101

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Health Science

Date

Feb 20, 2024

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pptx

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Uploaded by juanita04

Life Cycle of Claims Juanita Antoine Unit 5 M0205-7 General office processing Coding Department I.T Department processing Insurance companies Posting Department & Electronic deposits Following-up Department processing Patient Statements Collections

Patient Pre-Registration ▪ When patient comes in for there doctor appointment be sure to get a copy of insurance card. ▪ License( valid I.D.) and social security card. ▪ Patient must fill out all forms, leaving no questions unanswered.

Establish Financial Responsibility ▪ Inform the patient of any co-pays. ▪ Ask who will be reasonable for balance of any unpaid amount not covered by insurance. ▪ ask if there is any secondary insurance that will be used for this visit.

Patient Check-in & Check-out ▪ Patient check-in is a process where patients check-in to begin their registration with the doctor office, by using a clipboard, are a touch screen electronic, kiosk or sometimes a self-service. ▪ Checking-in and Check-out is a function that allows the doctor to keep track of patient visits and movement throughout the office.

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