The Boob Business Podcast by Milk Diva

Episode 36: Cracking the Code: Demystifying Medical Insurance Billing

May 14, 2024 Naiomi S. Catron R.N., IBCLC
Episode 36: Cracking the Code: Demystifying Medical Insurance Billing
The Boob Business Podcast by Milk Diva
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The Boob Business Podcast by Milk Diva
Episode 36: Cracking the Code: Demystifying Medical Insurance Billing
May 14, 2024
Naiomi S. Catron R.N., IBCLC

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In this enlightening episode, we sit down with Jennifer S. Then, my very own sister who is a Registered Nurse and Certified Professional Coder, to unravel the complexities of insurance language and billing. The purpose of this episode is to  listeners to navigate the system with confidence and clarity.

Jennifer brings her wealth of knowledge and expertise to the table, providing invaluable insights into understanding insurance which promises to be an indispensable resource for anyone seeking to gain a deeper understanding of insurance billing.

Key Points to Expect:

🔍 Insurance Codes Demystified
💡 Decoding the Difference between Deductibles & Coinsurance Insurance
🎂💰Understanding the Sneaky Birthday Rule Navigating Coinsurance
🔍What’s the Difference between an EOB and a bill?
💰🛡️ Mastering Out-of-Pocket Max

Thank you for tuning in, and be sure to join us for our next episode as we continue to explore essential topics in healthcare management.

Watch this podcast on Youtube

Follow Milk Diva:

Pregnant Snag your FREE 11-page "10 Common Breastfeeding Pitfalls to Avoid"

Are you Doula or Birth Professional? Get your hands on our free Newborn Feeding Swipe

👶🥄 Getting Ready to start solid foods with your baby? Take our QUICK Solids Feeding Assessment, and get a FREE 7-page Solids Readiness Checklist to start your baby feeding adventure off safely!

This podcast is provided for informational purposes only and does not constitute providing medical advice. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition.


Show Notes Chapter Markers

Send us a text

In this enlightening episode, we sit down with Jennifer S. Then, my very own sister who is a Registered Nurse and Certified Professional Coder, to unravel the complexities of insurance language and billing. The purpose of this episode is to  listeners to navigate the system with confidence and clarity.

Jennifer brings her wealth of knowledge and expertise to the table, providing invaluable insights into understanding insurance which promises to be an indispensable resource for anyone seeking to gain a deeper understanding of insurance billing.

Key Points to Expect:

🔍 Insurance Codes Demystified
💡 Decoding the Difference between Deductibles & Coinsurance Insurance
🎂💰Understanding the Sneaky Birthday Rule Navigating Coinsurance
🔍What’s the Difference between an EOB and a bill?
💰🛡️ Mastering Out-of-Pocket Max

Thank you for tuning in, and be sure to join us for our next episode as we continue to explore essential topics in healthcare management.

Watch this podcast on Youtube

Follow Milk Diva:

Pregnant Snag your FREE 11-page "10 Common Breastfeeding Pitfalls to Avoid"

Are you Doula or Birth Professional? Get your hands on our free Newborn Feeding Swipe

👶🥄 Getting Ready to start solid foods with your baby? Take our QUICK Solids Feeding Assessment, and get a FREE 7-page Solids Readiness Checklist to start your baby feeding adventure off safely!

This podcast is provided for informational purposes only and does not constitute providing medical advice. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition.


Intro to Jennifer S. Then and Her Background
Story of Crazy Insurance Claims
Insurance Codes and How It Works
Deductible Insurance
Coinsurance
Out-of-Pocket Max
What is the Coordination of Benefits of the ‘Birthday Rule?’
Superbill, In-Network and Out-of-Network Providers
What is the Explanation of Benefits?
Wrap-Up