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How does something like an x-ray become the bill that comes in the mail?It's the product of medical billing, a decades-old process that technology has recently transformed.It starts when someone gets hurt or sick and goes to the clinic or hospital. They fill out paperwork and see the doctor. Once the visit is over, administrators ship off insurance and visit details for processing.Behind the scenes, medical coders assign each service a code. Those can include diagnoses, procedures, and treatments. These codes help determine how much the insurance company will cover.They create a detailed, itemized list of services, medical codes, and co-payments and send it to medical billers.The billers use the list to create what’s called a claim for insurance companies to consider.Insurance companies can do one of three things.· Accept the claim.· Deny it and ask for corrections.· Or, reject it entirely.There are a lot of variables that go into how much insurance pays. Whatever the company doesn’t cover ends up in a bill in the mail.The process is digital now and much faster than doing everything by hand. It also reduces the risk of human error, which could save Americans money. 1195

GULF BREEZE, Fla. – A Florida man accidentally shot and killed his son-in-law who jumped out of bushes to surprise him on Tuesday.Santa Rosa County Sheriff Bob Johnson says the “horrible accident” happened outside the home of the father-in-law, 61-year-old Richard Dennis.Before the deadly shooting, Johnson says another relative banged on the front door of the Gulf Breeze home at about 9:30 p.m., startling the father-in-law, who then ran the family member off. At about 11 p.m. that night, the son-in-law, 37-year-old Christopher Bergan, arrived to an area airport from Norway and went directly to Dennis’ house to surprise him for his birthday. “At 11:30, Mr. Dennis hears the same type of banging on the back door that he heard on the front door earlier, so he turns on the back-porch light, he steps out and Mr. Bergan jumps out of the shadows, scaring Mr. Dennis,” said Johnson. “Mr. Dennis gets off one round, striking Mr. Bergan, killing him instantly.”Johnson says an investigation revealed that the incident “was totally accidental” and that no charges are warranted in the case. “Anybody who is religious out there, you need to pray for this family because I can’t imagine what they’re going through. It’s horrible,” said Johnson.Watch Johnson's full press conference below: 1299

Former Trump campaign chairman Paul Manafort was ordered Wednesday to serve an additional 43 months on federal conspiracy charges, bringing his total sentence between two federal courts to 7.5 years in twin cases stemming from special counsel Robert Mueller's Russia investigation.US District Court Judge 317

House Democrats will vote on a legislative package to reopen the government when they take over the chamber on Thursday, a Democratic aide confirms to CNN.The Democrats plan to vote on six Senate spending bills and a stopgap measure to re-open the Homeland Security Department at its current funding levels until February 8, the aide said. The temporary measure would maintain the current .3 billion in border security money.Senate Majority Leader Mitch McConnell has made clear he will not move forward on any legislation until President Donald Trump signs off on it. The move by House Democrats, however, will have the effect of jamming Senate Republicans and the White House as talks for a compromise agreement to reopen the government remain at an impasse.Senate Democrats support the House Democratic plan, and Senate Minority Leader Chuck Schumer and expected incoming House Speaker Nancy Pelosi have been in constant contact and are on the same page on the plan, a senior Senate Democratic aide said.Democrats believe it's smart to separate Department of Homeland Security funding — and the wall fight — from the other six bills because they think it puts Trump and the Republicans in the position of holding the other agencies and furloughed workers hostage for the wall, the aide said. Democrats believe pressure will mount on Republicans as the shutdown drags on, the aide said. 1402

FORT MYERS, Florida — An abused Lehigh Acres dog is getting a second chance at life thanks to the Lee County Sheriff’s Office.The newest member of the force is Deputy Chance.Images of Chance went viral last month after he was found roaming in Lehigh Acres 268