In medical billing, what do providers receive for covered medical services?

In medical billing, providers receive benefits for covered medical services. Benefits refer to the payment or reimbursement that a provider gets for services rendered to patients covered by insurance. These benefits are determined by the patient's insurance plan, which outlines what medical services are covered and the extent of coverage for each service.

When a provider delivers a service to a patient who has insurance, the provider submits a claim to the insurance company for the covered service. If the service is deemed allowable under the patient’s benefits plan, the insurance will process the claim, leading to the provider receiving payment. This process highlights the relationship between the services provided, the coverage under the insurance plan, and the benefits that the provider can expect to receive.

Other options like claims, denials, and invoicing are part of the billing process but do not directly represent what providers receive. Claims are submissions for payment, denials indicate that a claim was not approved for payment, and invoicing is a billing method used to request payment rather than a form of received compensation.