- Assignment of Benefits: An agreement in which you instruct your insurance organization to pay the hospital, physician or medical supplier directly for your medical services. Your insurance organization decides the payment rate.
- Balance: The amount owed to Amistad Ambulance
- Charges: Debt incurred for medical service a health care provider or medical facility provided.
- Commercial Health Insurance: Private or employer base health insurance.
- Co-payment/Coinsurance: An amount established by the insurance company as the patient’s responsibility of billed fees.
- Coordination of Benefits (COB): How insurance organizations determine the primary payment source when you’re covered under more than one insurance organization or group medical plan. Your insurance contract states that if you are covered under more than one insurance plan, benefits will be coordinated so that total benefits paid will not be more than 100% of the bill.
- Covered Services: Specific services or supplies for which your insurance reimburses you or pays your health care provider. These consist of a combination of mandatory and optional services and vary by insurance benefit plan.
- Invoice Number: Each patient is assigned one unique number for identification in our system.
- Deductible: An amount determined by the insurance company to be paid on an annual basis before benefits are paid to the provider.
- DOS: Date of Service.
- Explanation of Benefits (EOB)/Medicare Summary Notice: A document provided by the patient’s insurance plan/Medicare detailing how benefits are processed and paid for services rendered.
- Guarantor: The person responsible for paying the balance, or the amount owed.
- Non-covered Services: A service not covered under the limits of the patient’s health insurance contract. These amounts are the patient’s responsibility to pay. Patients should direct questions about coverage to their insurance plan.
- Pre-Authorization/Pre-Certification: Requirement of your insurance company to determine medical necessity for services rendered. Pre-certification does not guarantee benefits for payment. Questions about pre-certification requirements should be directed to your insurance plan.
- Primary Insurance: The insurance organization with first responsibility for paying eligible insurance expenses for your medical service. Note: You may still have to pay a co-pay/deductible.
- Proof of Health Insurance: An insurance card including the address where claims are to be filed. MUST BE UP TO DATE
- Secondary Insurance: The insurance organization with second responsibility for paying eligible insurance expenses for your medical. This insurance, if applicable, would work with your primary insurance organization to cover eligible expenses according to your insurance policies. This insurance organization is billed second – after your primary insurance organization has been billed and processed your claim.
- Statement: A record of account status sent to patients monthly to advise of the previous period’s transactions and activity on the account.
- Uninsured Patient: A patient without medical insurance.
Still have questions about our billing? Email us at claims@amistadambulance.com