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Medical Billing Medical Billing is the process of submitting health insurance claims on behalf of the patient to various health insurance payers for the purpose of acquiring payment for services rendered in a medical facility. Patient Data The top of the CMS 4000 Form reflects the Patient Demographic Information, such as the patient’s name, address, date of birth, sex and insurance information. Medical Data The middle section of the CMS 4000 Form reflects the patient’s medical data, such as date of injury or illness and the diagnosis of the patient as reported by the physician.  The patient’s diagnosis is reported using a code from the ICD Coding Book. Services Rendered/Charge Data The lower section of the CMS 4000 Form reflects the services rendered by the physician as well as the monetary charge associated with each service provided.  The services rendered are reported using codes from the CPT Coding Book.

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