United States Health Information Knowledgebase


Advanced Beneficiary Notice

Definition:The status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element indicates (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service

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