Who is Beneficiary (OR) Insured Person?
A person who is eligible for receiving benefits under the insurance policy. He is also called an enrolee or insured
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MEDICALBILLINGTRAINING
What is Authorization Number?
Before providing certain services the provider must receive approval from a staff member of the payer’s UMR dept (Utilization Management
Read MoreWhat is Allowed amount/considered amount/Approved amount?
The dollar amount an insurance company deems fair for a specific service or procedure. This is the maximum amount that
Read MoreClaim Timely Filing Limits:
Sl.No Payer TFL Corrected Claim Filing Limit Appeal Filing Limit 1 AETNA 120 DAYS FROM DOS 180 DAYS FROM DOD
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