What is “third-party billing” in medical billing?

Third-Party Billing in Medical Billing

Third-party billing refers to the process of submitting claims to an insurance company or other payer (the third party) for reimbursement of medical services.

Third-Party Billing in Medical Billing Explained

In medical billing, third-party billing involves sending claims to entities other than the patient, such as insurance companies, Medicaid, or Medicare, for payment. The third party is responsible for paying some or all of the patient’s healthcare costs.

For example, a provider submits a claim to the patient’s insurance company, which is responsible for paying for the services.

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