Knowledge Center

Revenue Cycle Glossary

Plain-language definitions for commonly used billing, credentialing and payer terms.

A/R Aging

Grouping outstanding balances by the length of time they have remained unpaid.

A provider data platform commonly used by health plans during credentialing.

A claim submitted with the information required for processing without known defects.

Verification and evaluation of a provider's qualifications for participation or privileges.

A payer determination that all or part of a claim will not be paid as submitted.

Electronic Remittance Advice explaining payer adjudication and payment details.

National Provider Identifier assigned to eligible healthcare providers or organizations.

Medicare's online enrollment, chain and ownership system.

Periodic reassessment of a participating provider's credentials.

The payer deadline for initial claim or corrected-claim submission.

No matching term found.