Billing Frequently Asked Questions( FAQ)
Payer
• Another name for an insurance company
PPO
• Preferred Provider Organization. A healthcare plan that covers a larger amount of a patient’ s healthcare. Unlike HMOs, PPOs do not restrict patients to only the providers within their network in order for costs to be covered.
Preauthorization / Precertification
• Getting advance approval from your insurance company for your services.
Price
• The amount after services have been completed without insurance or additional discounts applied.
Primary Care Provider
• Your doctor or provider who coordinates your care.
Primary Insurance
• The insurance company with first responsibility for paying eligible health expenses.
Provider
• A healthcare professional( doctor or nurse practitioner) or facility( such as a hospital or clinic).
Secondary Insurance
• The insurance company with second responsibility for paying eligible health expenses.
Secure Health Code
• This code is used to tie payments received to a specific guarantor account.
Subscriber
• The person who purchased the insurance.
Visit Number
• The unique number assigned to each visit.
Our Mission Renown Health makes a genuine difference in the health and well-being of the people and communities we serve.
ALB / 1904-SP006400