• 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

      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.

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