Understanding the Medical Billing Process

A step-by-step guide to how medical billing works, from service to payment

Typical Processing Time

30-90 Days

Your Rights

Bill Transparency

Dispute Window

120 Days

The Billing Process

Follow the journey of your medical bill

1

Registration & Insurance Verification

Your information is collected and insurance coverage is verified

  • Provide personal and insurance information
  • Insurance eligibility is checked
  • Coverage and benefits are verified
  • Pre-authorization may be required
2

Service & Documentation

Medical services are provided and documented

3

Claim Submission

Provider submits claim to insurance company

4

Insurance Processing

Insurance company processes and reviews the claim

5

Payment & Patient Responsibility

Final bill is determined and patient portion is calculated

Common Questions

What is an EOB (Explanation of Benefits)?

An EOB is a document from your insurance company that explains what was covered and paid for a medical service. It shows the total charge, what insurance paid, and what you may owe.

How long does the billing process take?

The typical billing process can take 30-90 days from service to final bill. Complicated claims may take longer. If it's been more than 60 days, contact your provider or insurance company.

What if I find an error on my bill?

Contact your healthcare provider's billing department immediately. Request an itemized bill, identify the error, and keep records of all communications. You have the right to dispute incorrect charges.

Track Your Bill

Use our bill tracking tool to monitor the status of your medical bills.

Open Bill Tracker

Billing Checklist

Download our checklist to help you stay organized throughout the billing process.