Hello- Please help! INSTRUCTIONS Calculate the amounts paid by the payer and the
ID: 457670 • Letter: H
Question
Hello-
Please help!
INSTRUCTIONS
Calculate the amounts paid by the payer and the patient and the amount the provider must “write off”.
The patient received preventive medicine services. The physician’s fee schedule is $150. The patient’s copayment is $10 of the $75 fee schedule, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician 80% of the $75 fee schedule.
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
Calculate the amounts paid by the payer and the patient and the amount the provider must “write off”.
The patient received preventive medicine services. The physician’s fee schedule is $150. The patient’s copayment is $10 of the $75 fee schedule, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician 80% of the $75 fee schedule.
Enter the amount the patient pays the provider: $20 (given $10 for $75 fee schedule whereas fee schedule is $150)
Enter the amount the payer reimburses the provider: 80% means is $120
Enter the amount the provider “writes off” the account: $30
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