Medical billing definitions

1. MEDICAL BILLING GLOSSARY
A training course presentation by Carlos Abdul Bonilla

2. Content
• Assignment of benefits (AOB)
• Authorization
• Coordination of benefits (COB)
• Pre-existing condition (PEC)
• Supplemental insurance

3. Assignment of benfits (AOB)
An arrangement by which a patient requests that their health benefits payments be made directly to
designated provider, such as a physician or hospital.

4. Authorization
When a patient requires permission from the insurance company before receiving certain treatments or
services.

5. Coordination of benefits (COB)
When a patient is covered by more than one insurance plan. One insurance carrier is designated as the
primary carrier an the other as secondary.

6. Pre-existing condition (PEC)
A medical condition that has been diagnosed or treated within a certain specified period of time before
the patient’s effective date of coverage. A pre-existing condition may not be covered for a for a
determined amount of time as defined in the insurance terms of coverage.

7. Supplemental insurance
Additional insurance policy that covers claims for deductible, and co-insurances . Frecuently use to cover
those expenses not covered by medicare.

8. Thank you for your attention