Medical Biller
US Healthcare Basics: Patient, Provider, Payer
Explain the three central participants and how information and responsibility move between them. This beginner module connects the concept to Patient Inquiry, Insurance Verification and includes a fictional practice activity.
Insurance Basics for Beginners
Recognize common plan information and know what must still be verified. This beginner module connects the concept to Patient Intake, Insurance Verification and includes a fictional practice activity.
Clinic vs Hospital vs Facility
Understand that care settings, departments, billing entities, and workflows can differ. This beginner module connects the concept to Visit / Service, Coding Review and includes a fictional practice activity.
Eligibility and Benefits Basics
Separate eligibility status from benefit detail and document the source and date. This beginner module connects the concept to Insurance Verification, Benefits Check and includes a fictional practice activity.
Deductible, Copay, Coinsurance, and OOP Max
Explain common cost-sharing terms without calculating or guaranteeing final responsibility. This beginner module connects the concept to Benefits Check, Patient Balance / Statement and includes a fictional practice activity.
Claims and Billing Basics
Describe how a claim moves from documented service to payer processing and follow-up. This beginner module connects the concept to Coding Review, Claim Submission, Claim Status and includes a fictional practice activity.
CMS-1500, CPT, ICD-10-CM, and HCPCS Intro
Recognize basic claim-form and code-set concepts without claiming coding authority. This beginner module connects the concept to Coding Review, Claim Submission and includes a fictional practice activity.