Final answer:
The fees that insurance companies pay are determined by medical codes such as CPT, ICD, CLIA, and AMA.
Step-by-step explanation:
In the context of health insurance, the fees that insurance companies pay are determined by the type of medical codes used for billing and reimbursement. These codes include the Current Procedural Terminology (CPT) codes, International Classification of Diseases (ICD) codes, Clinical Laboratory Improvement Amendments (CLIA) codes, and American Medical Association (AMA) codes.
The CPT codes are used to identify the specific medical procedures or services provided by healthcare providers. The ICD codes are used to document the diagnoses or medical conditions for which the services were provided. The CLIA codes are used to regulate and classify laboratory testing. The AMA codes are related to medical billing and documentation.
Insurance companies use these codes to determine the appropriate reimbursement for medical services based on the fee schedules and guidelines set by the insurance company.