1. Day of the month on which specific groups (Medicare, Medicaid, managed care, commercial payers) are scheduled to be billed. There are 30 bill-cycle days per month including weekends and holidays. 2. Day of the month on which specific accounts by alphabet, account number, insurance type, or date of first service are scheduled to be billed. Also see cycle billing .

Rate of regularity that a subscriber or group is billed by the insurance company for premiums due. This may be monthly, quarterly, or annually.

Insurance claims with fees and procedural and diagnostic code numbers submitted by the provider to the insurance plan for health care services or supplies provided to their enrolled members or insureds.

Individual who completes and transmits insurance claim forms for professional services rendered to a patient by a health care provider or supplier to insurance carriers and/or fiscal agents for private, state, or federal programs.

1. To send a statement for medical services rendered to the patient. 2. In Medicare fraud, to bill for services or supplies that were not provided. This includes billing for “no shows” (i.e., billing for a service not actually furnished because a patient failed to keep an appointment).

Patient’s or third-party payer’s location (street, city, state, and zip code) to which a billing statement is sent.

Automated functions that address the procedures and processes of billing and accounts receivable.

Individual designated to an insured group who handles collection of charges and subscriber correspondence and other clerical and administrative tasks.