Medical Billing
Glossary

Find the meanings of medical billing jargon for a simpler understanding

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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