In the context of healthcare, eligibility refers to the process of checking a patient's qualification for receiving health insurance benefits or medical services under a specific plan.

It essentially determines whether a patient has access to healthcare coverage and to what extent services will be reimbursed.

Employer-based health insurance is coverage provided by employers, often at a reduced cost. It includes various plans like HMO, PPO, and EPO to meet employees' healthcare needs.

Discover the essentials of EOB in medical billing. Learn how it simplifies claims, ensures transparency, prevents errors, and supports compliance.

Evaluation and Management (E/M) codes are the set of codes used for medical billing. They represent particular services provided by physicians and are reimbursed based on the complexity of the services offered.