Medical Billing Terminology

Front 1

CPT CODE

Back 1

procedures code

Front 2

ICD-9 CODE

Back 2

diagnosis codes

Front 3

EOB

Back 3

what a dr gets paid for servicee/what the patienf owes

Front 4

COB

Back 4

what the other insurance pays (primary vs secondary)

Front 5

COPAY

Back 5

what the patient pays of the insurance (dr office, hospital, ER visit

Front 6

COINSURANCE

Back 6

anything above and beyond what the insurance does not pay

Front 7

DEDUCTIBLE

Back 7

patient responsiable prior to insurance payment

Front 8

HCFA FORM

Back 8

CM1500 Billing Form for professional bills

Front 9

UB92

Back 9

hospital ambilitory billing form

Front 10

ALLOWED AMOUNT/CONTRACT AMOUNT

Back 10

contract write off/what the dr actually gets paid

Front 11

CHARGES

Back 11

what the dr will charge for service

Front 12

RECEIPT

Back 12

proof of payment (of in cash aslways note)

Front 13

LOCKBOX

Back 13

all payments are placed/bank

Front 14

NON PAR/PAR

Back 14

non participating vs participating

Front 15

BENEFIT ASSIGNMENT

Back 15

what the insurance pays

Front 16

HIPPA

Back 16

health privacy act

Front 17

PCP

Back 17

primary care physician

Front 18

REFERRING PHYSICIAN

Back 18

another doctor

Front 19

INPATIENT/OUTPATIENT

Back 19

stay in hopsital vs going home after procdure

Front 20

HMO

Back 20

health maintance organization

Front 21

PPO

Back 21

organization provider