r provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're suppo

In this installment of medical billing, covering the practice of sending claims via electronic means, we will be covering more line item detail. The record covered will be the FB1 record, which is very specific detail related to the provider of services.

If you take a look at the FB1 record, you will notice that the entire record involved sending data for the various providers of services, which includes the ordering provider, referring provider, rendering provider and supervising provider. Because all the information for each provider is the same, covering name and UPIN numbers, as well as the patient ID for the claim, we're not going to review this record in detail. Instead, we're going to explain why this information needs to be sent. This will give you a clear understanding of the procedure involved with getting a claim processed and approved.

As with the United States government, the medical profession has a number of checks and balances put in place to help prevent not only fraud, but malpractice and criminal negligence. As much as we don't want to admit that these problems exist, they do indeed exist and these checks and balances make it harder for these things to go on without being punished by law.

In a previous article, we explained the difference between the four providers. The rendering provider being the one who actually provides the service, the supervising provider being the one who watches over the rendering provider, usually the administrator of the facility, the referring provider who refers the patient to the one who performs the service and finally the ordering provider who orders, or more accurately okays the work that needs to be done. In some cases, this is the same as the rendering provider, but in many cases, it is a different person. This is where checks and balances comes in.

In order for a patient to even make their way to the rendering provider, they must have a referral. Most rendering providers won't even see you unless you have a referral. Why? Because this way there is a second person to verify that they believe the patient needs the work to be done. This way, if there is any problem, the rendering provider has the original referral.

Now, before the work can even be done, in most cases another provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're suppos

and UPIN numbers, as well as the patient ID for the claim, we're not going to review this record in detail. Instead, we're going to explain why this information needs to be sent. This will give you a clear understanding of the procedure involved with getting a claim processed and approved.

As with the United States government, the medical profession has a number of checks and balances put in place to help prevent not only fraud, but malpractice and criminal negligence. As much as we don't want to admit that these problems exist, they do indeed exist and these checks and balances make it harder for these things to go on without being punished by law.

In a previous article, we explained the difference between the four providers. The rendering provider being the one who actually provides the service, the supervising provider being the one who watches over the rendering provider, usually the administrator of the facility, the referring provider who refers the patient to the one who performs the service and finally the ordering provider who orders, or more accurately okays the work that needs to be done. In some cases, this is the same as the rendering provider, but in many cases, it is a different person. This is where checks and balances comes in.

In order for a patient to even make their way to the rendering provider, they must have a referral. Most rendering providers won't even see you unless you have a referral. Why? Because this way there is a second person to verify that they believe the patient needs the work to be done. This way, if there is any problem, the rendering provider has the original referral.

Now, before the work can even be done, in most cases another provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're suppo

hecks and balances make it harder for these things to go on without being punished by law.

In a previous article, we explained the difference between the four providers. The rendering provider being the one who actually provides the service, the supervising provider being the one who watches over the rendering provider, usually the administrator of the facility, the referring provider who refers the patient to the one who performs the service and finally the ordering provider who orders, or more accurately okays the work that needs to be done. In some cases, this is the same as the rendering provider, but in many cases, it is a different person. This is where checks and balances comes in.

In order for a patient to even make their way to the rendering provider, they must have a referral. Most rendering providers won't even see you unless you have a referral. Why? Because this way there is a second person to verify that they believe the patient needs the work to be done. This way, if there is any problem, the rendering provider has the original referral.

Now, before the work can even be done, in most cases another provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're suppo

s is the same as the rendering provider, but in many cases, it is a different person. This is where checks and balances comes in.

In order for a patient to even make their way to the rendering provider, they must have a referral. Most rendering providers won't even see you unless you have a referral. Why? Because this way there is a second person to verify that they believe the patient needs the work to be done. This way, if there is any problem, the rendering provider has the original referral.

Now, before the work can even be done, in most cases another provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're suppo

r provider will come in as a consultant and take a look at the patient, maybe even do an exam himself and verify that the work needs to be done. This is another check and balance. This way, the rendering provider has a backup to testify, if need be, that they believed the work was needed. A reputable doctor will not okay this, especially if they know that their information is going to be transmitted in reference to this claim.

Then and finally, we have the supervising provider who is overseeing all of this to make sure that everybody is doing what they're supposed to be doing. This is another check and balance and this person also has their information sent to the payer.

In the event that anything goes wrong with the procedure or treatment, all these people are held accountable. That is why the system works and that is why this information needs to be transmitted. It all fits nice and neat into the FB1 record.

In our next installment of medical billing, we'll cover the last line item detail record, the FB2 record.