Hi Everyone, My Name is Nikhil Kumar, and I am an experienced AR in medical billing (US Healthcare process), currently I am working as Team coach and handling AR team. I create the videos for those, who do not have enough knowledge to work in this medical billing process and they are struggling on daily basis for the production, so I am starting the videos from the basic of this process so you can learn everything step by step, which will improve your knowledge and productivity. Please Subscribe and Share my YouTube channel for better reach so more and more people can get the benefit of this. Subscribe: https://www.youtube.com/@MedicalbillingwithNikhil Paid training is also available, if you have any query related to this process, please drop a mail on: kumarnikks4@gmail.com

1. kumarnikks4
Medical billing with Nikhil
Nikhil Kumar
medicalbillingwithnikhil
Nikhil Kumar

2. You are watching : Medical billing with Nikhil
1. Institutional (Hospital) Billing
• Claim form : UB-04 Form
2. Professional (Physician) Billing
• Claim form : CMS-1500 Form

3. You are watching : Medical billing with Nikhil
Basic terms part 1 – Chapter two
First party Patient
Second party Doctor
Third and final party Health Insurance

4. You are watching : Medical billing with Nikhil
Basic terms part 1 – Chapter two
Patient: A patient is a person who is receiving medical treatment from a doctor or hospital.
 Subscriber: The person who purchases policy and pays premium to
insurance company.
 Dependent: The spouse and children of subscriber called
dependents.
For example; We have a family in this slide, so Nik is with their family, so suppose his
wife and children are sick and they came to the doctor for treatment,
so here “Patient” is Nik’s wife and children and “Subscriber” is Nik and “Dependent”
is Nik’s wife and children

5. You are watching : Medical billing with Nikhil
Basic terms part 1 – Chapter two
Doctor: A person who has earned a medical doctorate and is certified to diagnose patients, provide
them with care and treatment, and prescribe any necessary medication.
In terms of medical we called “Provider” to the doctor.

6. You are watching : Medical billing with Nikhil
Basic terms part 1 – Chapter two
Health Insurance: Health insurance is a contract between
a insurance company and a consumer (Patient).
The insurance company agrees to pay all or some of the
insured person's healthcare costs in return for payment of a
monthly premium.
Note: The contract is usually a one-year agreement, during
which the insurer (Insurance company) will be responsible for
paying specific expenses related to illness, injury, pregnancy, or
preventative care.
Premium: It is the amount which is periodically paid by subscriber to an
insurance company to remain eligible with insurance company.

7. Thank you for watching….