How does my client's insurance company know to attribute what the client has paid me towards their deductible?
The Claims Cycle at a Glance
It can feel a bit like "magic" how the insurance company knows what happened in your office, but it follows a standardized data exchange:
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Step 1: You collect the payment from the client based on their benefit verification.
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Step 2: CCS submits a professional claim (CMS-1500) to the payer.
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Step 3: The insurance company processes the claim and generates an Explanation of Benefits (EOB).
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Step 4: This EOB officially attributes the amount to the client’s deductible, updating their remaining balance in the insurance system.