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Glossary

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  • CMS-1500 forms - Commonly known as the HCFA-1500 form, is the standard claim form used by individual healthcare providers to bill for professional medical services to request reimbursement fromMedicare, Medicaid, and private insurance companies

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  • Electronic Data Interchange (EDI) - A system for securely transmitting information between healthcare providers, healthcare clearinghouses, and payers.

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  • Flow Board - The Flow Board is a digital dashboard in OpenEMR that tracks the status of all scheduled appointments for the day. It helps improve communication between the front desk, clinical staff, and providers, ensuring a smooth and timely patient experience.

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  • superbill - A superbill is a detailed, itemized invoice that healthcare providers give to patients so the patients can seek reimbursement from their insurance company for out-of-network services. It acts as the primary data source the insurance company uses to evaluate the claim and determine how much, if anything, to pay the patient back. A superbill contains information such as provider information, patient information, date of service, diagnosis codes, and procedure codes.

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  • X12 837 Files - X12 837 files are US healthcare industry standard files used to submit medical claims, billing, and encounter information from providers to payers.

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