What is “commercial insurance” in medical billing?

Commercial Insurance in Medical Billing

Commercial insurance refers to health insurance provided by private companies rather than government programs like Medicare or Medicaid.

Commercial Insurance in Medical Billing Explained

In medical billing, commercial insurance is offered by private insurers to individuals, employers, or organizations. These plans vary widely in coverage, premiums, deductibles, and co-pays. Billing for commercial insurance requires knowledge of each payer’s rules, policies, and reimbursement rates.

For example, a patient with employer-sponsored health insurance provided by a private company will have their medical claims processed by their commercial insurance payer.

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