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Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
How healthcare payment is managed is one of key policies that countries have to drive healthcare system. Payment for healthcare is managed in various ways. The main categories of payment systems are salary, capitation, bundled payment, global budget and fee-for-service. Most countries have mixed systems of physician payment. [1] [2]
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
AXA PPP International was the trading name for AXA PPP healthcare's international health insurance division, which was later rebranded as AXA - Global Healthcare on 1 January 2017. The company bought the online insurer Swiftcover , notorious for its controversial Iggy Pop TV advertising campaign which was subsequently banned.
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The insured person may be expected to pay any charges in excess of the health plan's maximum payment for a specific service. In addition, some insurance company schemes have annual or lifetime coverage maxima. In these cases, the health plan will stop payment when they reach the benefit maximum, and the policy-holder must pay all remaining costs.
HHN (Hospitals & Health Networks) Magazine. Archived from the original on 2011-07-11; Pham HH, Ginsburg PB, Lake TK, Maxfield MM (January 2010). "Episode-based payments: charting a course for health care payment reform" (PDF). Washington, DC: National Institute for Health Care Reform. Archived from the original (PDF) on 2010-08-19
Axa XL is an American subsidiary of global insurance and reinsurance company Axa. It is headquartered in Stamford, Connecticut, domiciled in Hamilton, Bermuda, and has more than 100 offices on 6 continents. In 2016, the company wrote $13.890 billion in gross premiums, of which 69% was insurance, 29% was reinsurance, and 2% was other.