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Medical claims include: multiple diagnosis codes recorded with the ICD- 9-CM diagnosis codes; procedures recorded with ICD-9-CM procedure codes, CPT or HCPCS codes; site of service codes; provider specialty codes; revenue codes (for facilities); paid amounts; and other information. Is a medical claim a bill? After you visit your doctor,Read More →

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How Does Claims Processing Work? After your visit, either your doctor sends a bill to your insurance company for any charges you didn’t pay at the visit or you submit a claim for the services you received. A claims processor will check it for completeness, accuracy and whether the serviceRead More →