The medical billing process is a process that involves a health care provider and the insurance company (payer) pertaining to the payment of medical services rendered to the clients.Medical Billing is a process that involves health care provider and insurance payor. It pertains to the payment of medical services rendered to the client.

Why We Bill?

Going to the doctor may seem like a one-one-one interaction, but in reality it is part of a large, complex system of information and payment. While the insured patient may only have direct interaction with their healthcare provider, that check-up is actually part of a three-party system.

The first party is the patient. The second party is the healthcare provider. The term ‘provider’ includes hospital, physicians, outpatient facilities, and any other facility where medical services are performed. The third party is the insurance company, or payor.

It is our job to negotiate and arrange for payment between these three parties. Specifically, our biller ensures that the healthcare provider is compensated for their services by billing both patients and payors. We bill because healthcare providers need to be compensated for the services they perform.