Which term refers to the fee schedule component assigned to a specific procedure number?

Which term refers to the fee schedule component assigned to a specific procedure number?

• A. Procedure number
• B. Encounter
• C. Co-payment
• D. Explanation of benefits

Answer: (A)

In billing, the fee schedule is organized by a specific procedure code or number, and that number is the anchor used to look up the price for that service. The term in question refers to the identifier that ties directly to the corresponding charge in the fee schedule. In other words, the procedure number is the code that carries the price for that exact procedure. The other options describe different aspects of the billing process: an encounter is the record of the patient’s visit, a co-payment is the amount the patient pays at the time of service, and an explanation of benefits is the insurer’s breakdown of how the claim was processed.

In billing, the fee schedule is organized by a specific procedure code or number, and that number is the anchor used to look up the price for that service. The term in question refers to the identifier that ties directly to the corresponding charge in the fee schedule. In other words, the procedure number is the code that carries the price for that exact procedure. The other options describe different aspects of the billing process: an encounter is the record of the patient’s visit, a co-payment is the amount the patient pays at the time of service, and an explanation of benefits is the insurer’s breakdown of how the claim was processed.