What is “claim statement” in medical billing?

Claim Statement in Medical Billing

A claim statement is a document sent to the patient or provider that details the services provided, the amount billed, and the amount paid by the insurance company.

Claim Statement in Medical Billing Explained

In medical billing, a claim statement includes information about a submitted claim, such as the services billed, the amount covered by the patient’s insurance, any co-pays or deductibles owed by the patient, and the final amount reimbursed to the provider. This document helps both the patient and provider understand how the claim was processed.

For example, after a patient’s hospital stay, they receive a claim statement showing the total charges, the insurance payment, and the remaining balance they owe.

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