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hi Im Desiree summers and today Im gonna do a training on accounts receivable insurance billing and collections so the first part of this training I would like to go over with you guys the life cycle of a claim I feel like it will help give you a better understanding of how the whole billing process works as far as the start of pre-registering the patient checking out the patient and then where the billing starts to take place and it gives you kind of an inside look of how the whole process works within our physicians office so the first part of the life cycle is pre-registering the patient and then we have established financial responsibilities we then check in the patient we review coding compliance we review the billing compliance then we check out the patient we prepare and transmit claims we monitor payer adjudication we generate patient statements and then we follow up with patients and collections so the diagram represents as I mentioned the life cycle to claim its always a