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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

Former Colorado Gov. John Hickenlooper on Monday announced he is running for president, launching a 2020 campaign in which he will lean on his Western roots and decades of executive experience.He made the announcement in a 235

Former Vice President Joe Biden responded for the first time on Sunday to allegations that he made a Nevada politician feel "uneasy" in 2014 when he kissed her on the back of her head, saying that he never believed he acted inappropriately."In my many years on the campaign trail and in public life, I have offered countless handshakes, hugs, expressions of affection, support and comfort," Biden said in a statement. "And not once - never - did I believe I acted inappropriately. If it is suggested I did so, I will listen respectfully. But it was never my intention."The statement was the first response to the allegations directly from the former vice president. Previously there have only been statements from Biden's spokesman.Lucy Flores, the former Democratic nominee for lieutenant governor of Nevada, 822

GREAT FALLS, Mont. — Bears find their way into all kinds of interesting places, and over the weekend, a young black bear proved it: 144

Getting immersed in nature is a right we all share. However, access to the wilderness isn't always easy."As creatures on this planet, we are intrinsically tied to the land," says Amanda Jameson, donor relations manager with Big City Mountaineers. "Whether we get to experience that day-to-day is a matter, often, of privilege."The national nonprofit Big City Mountaineers aims to teach critical life skills in youth by offering transformative outdoor experiences.After a week-long backpacking expedition, four teenage girls unpack and clean their gear. For most, it was their very first time spending the night under the stars."They got us out, taught us how to set up a tent, taught us how to get water, how to cook outside… just the basics," Jacqueline Jimenez says. Thanks to Big City Mountaineers, Jimenez says she has discovered a newfound love for the outdoors. "I didn't think I'd like the outdoors as much as I liked it. I didn't think I would enjoy backpacking, carrying like 40-pound bags on my back," she says. "But I enjoyed it so much, and it’s something I want to look forward to, and incorporate into my life."Jameson says Big City Mountaineers offers trips at no cost to the youth, so those who wouldn’t normally get outside, get a chance to get outside. The organization has impacted the lives of metropolitan youth in Denver, Seattle, Portland, San Francisco, Minneapolis and Boston for the past 30 years. The kids are chosen for the trips through school and community partnerships."If you're trying to give your kids these experiences, it can be very expensive," Jameson says. "And then, you're talking about getting the time off, and trying to find a place to go, and making reservations, and planning in advance. All of those things can be difficult."However, Big City Mountaineers takes the difficulty out of it. Jameson says the week-long expeditions and overnight camps teach life skills, but not the transformation. That comes from within."The resilience, the tenacity, the problem-solving. All of these are skills that our youth already have," Jameson says. "By putting them in an unfamiliar environment in situations that they may have never encountered before, we're just allowing them to make those skills more explicit for themselves."Jimenez says that was certainly true for her, and she's packing away lessons of her own strength to carry with her through the rest of her life. "I'm so thankful for BCM for believing in me when I didn't believe in myself, and pushing my limits that I didn't even know I had," she says. If you’d like to reach out to the journalist of this story, email Elizabeth Ruiz at elizabeth.ruiz@scripps.com 2675

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