Health Insurance
There are several steps in the insurance claim process. Many patients have some form of health care insurance. Health insurance is, more or less, payment made by the patient to the insurance company to guard against ailments. The insurance company pays out for medical treatment. In many cases, the patient will have some sort of co-pay, which is when they must pay a deductible or otherwise some portion of the total cost, and the insurance company covering amounts over the copay.
Green & Rowell (2013, Chapter 4) notes that "the processing of an insurance claim is initiated when the patient contacts a healthcare provider's office and schedules an appointment." When the patient visits the office, he or she must fill out the CMS-1500 claim form, which is the common form for making an insurance claim in health care. This form will contain the information needed for the health care provider to file the claim and collect payment. This information includes the patient's name, the information pertaining to their insurance policy, the different codes for the charges and diagnoses so that the insurance company knows what it is paying out for...
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