MBC’s Special Offers

Medical Billing Glossary

Adjudication
The final determination of the issues involving settlement of an insurance claim.
Adjustment
The portion of medical bill that doctor or hospital has agreed not to charge Patient.
Aging
Any claims or unpaid insurance that are due past 30 days.
AMA
American Medical Association. The largest consortium of doctors in the US. Their publication: American Medical Association is a widely distributed medical journal in the world.
Ambulatory Care
It includes all types of health services that do not require an overnight hospital stay.
Ancillary Service
Services you need beyond room and board charges, such as laboratory tests, therapy, surgery and the like.
Appeal
A process by which a doctor or the Patient can object to payer when they disagree with the health plan's decision not to pay for care provided.
AR
(Accounts Receivables) It’s a term used to indicate outstanding amount of money that the hospital or physician are still hoping to get paid for.
Assignment of Benefits
Insurance payments which are sent directly to the patient’s doctor or hospital
Authorization
Approval of care required before a service is provided. Pre-authorization may be necessary before hospital admission, or before care is given by non-HMO providers.
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