Calculate the amounts paid by the payer and the patient and the amount the provi
ID: 457633 • Letter: C
Question
Calculate the amounts paid by the payer and the patient and the amount the provider must “write off”.
The patient is seen by his family physician for follow-up treatment of recently diagnosed asthmatic bronchitis. The physician’s fee is $75. The patient’s copayment is $20, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician $28.
Enter the amount the patient pays the provider:
Enter the amount the payer reimburses the provider:
Enter the amount the provider “writes off” the account:
Explanation / Answer
Physician fee - $75
Patient's copayment - $20
Payer reimbursement to physician - $28
The amount patient pays the provider - $20 (as a copayment)
The amount the payer reimburses the provider - $75-$20 = $55
The amount the provider writes off the account - $55-$28 = $27
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