Medical billing

Invoicing standards

Healthcode has compiled a set of medical billing and best practice guidelines - The Industry’s Guide to Billing - to help medical professionals, particularly those new to private practice. The Guide encourages medical professionals to bill to a standard using a set of common information to ensure the payor has sufficient information to settle the invoice on receipt.

To ensure the payment process is seamless, the following key information should be included on a private medical invoice:

About the Invoice

  • Invoice number
  • Invoice date

About You

  • Full name
  • Provider number or professional number
  • Speciality
  • Billing address
  • Payment details

About the Patient

  • Patient name
  • Date of birth
  • Insurance company or paying organisation
  • Patient policy number if insured
  • Patient address
  • Diagnosis code and descripiton
  • If you are not the lead consultant, you will need to provide the name of the consultant in charge of the overall patient care including their provider / professional number.

About the Treatment

The following information is required for each treatment being invoiced:

  • The type of care delivered e.g. in-patient, out-patient, day case, consulting room or other
  • Date of treatment
  • Service delivered
  • Procedure code and description if applicable
  • Total amount

The above is the industry standard required for private medical billing. However, some insurers may not require diagnosis information.