Billing a commercial insurer

List the steps involved in billing a commercial insurer for a broken finger treated in an urgent care clinic.

*Describe any regulatory issues encountered in billing for this case.

*Identify the procedure code and the diagnosis code for this treatment.

*Identify the resources needed to fill out the claim form.

Sample Solution

Gather the necessary information: Before billing a commercial insurer, it’s important to gather all the relevant information needed for the claim including patient demographic information (name, age, address), insurance details (policy number, group number) and medical codes used to describe services provided.