What is “PCP” in medical billing?

PCP in Medical Billing

PCP stands for Primary Care Provider, the physician responsible for providing general healthcare and coordinating any specialized care for the patient.

PCP in Medical Billing Explained

In medical billing, the PCP acts as the main point of contact for the patient and often handles referrals to specialists. Insurance companies may require patients to see their PCP before accessing specialized services.

For example, a patient must see their PCP to get a referral for a cardiologist visit, ensuring insurance coverage for the specialist appointment.

Check acronyms and abbreviations in Medical billing glossary.

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