Revenue Cycle Management Steps

Steps-in-the-Medical-Billing-Process

Revenue Cycle Management is used in the healthcare system of the United State of America. It is useful to track the revenue for providers for the services taken by patients. It starts with a patient appointment when a patient needs any treatment or patient has any illness and ends up with the resolution of service … Read more

Medicare Deductible & Premium

deductibles vs premium

What’s a Premium, Really? Think of your premium as a subscription fee. It’s the amount you pay every month—whether or not you use any medical services. Key facts about premiums: 🔍 “Why is my premium so high?”If your plan offers broad coverage, low deductibles, or access to a large provider network, your premium will reflect … Read more

Medicaid – QMB, SLMB, QI & QDWI Program

1) These are the Medicare programs established to help low-income beneficiaries where Medicaid pays their Medicare Part A & Part B premium, Medicare coinsurance, and Medicare Deductible. 2) Below are the Medicare programs and their covered benefit, 3) You will find a scenario where a claim was paid by Medicare as primary and Medicaid denied … Read more

Managed Care Organization (MCO) Plans

Managed care organization (MCO) is a type of health insurance that have contracts with healthcare providers to help members to provide services at low cost. Providers are contracted with health insurance under MCO plans and based on these plans, the cost of the patient’s health services is dependent. An individual can select any plan and … Read more

BCBS Prefix Lookup ZAA to ZZZ

BCBS Prefix Lookup ZAA to ZZZ

Prefix Plan Name Provider Phone Number Z2M Blue Cross Blue Shield of Rhode Island Z3A Blue Cross Blue Shield of Illinois Z3F Blue Cross Blue Shield of Illinois Z3G Blue Cross Blue Shield of Illinois Z3K Blue Cross Blue Shield of Illinois Z3M Blue Cross Blue Shield of Rhode Island Z3N Blue Cross Blue Shield … Read more