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PROVIDER BILLING MANUALINTRODUCTORY BILLING INFORMATION .......................................................................................... 4 Billing Instructions .....................................................................................................................
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Encounters refer to the interaction between a patient and a healthcare provider, while claims are requests for payment for healthcare services rendered.
Healthcare providers and insurance companies are required to file encounters and claims.
Encounters and claims can be filled out using standardized forms provided by insurance companies or healthcare billing systems.
The purpose of encounters and claims is to ensure that healthcare services are accurately documented and billed for payment.
Information such as patient demographics, diagnosis codes, procedure codes, and insurance information must be reported on encounters and claims.
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