google.com, pub-6833881739459126, DIRECT, f08c47fec0942fa0 Icon
by k
(okc)
A patient (name removed to protect privacy) receives an amputation of the leg below the knee ($2,750), of which $2,750 is considered UCR. Patient’s coinsurance is 10%. Deductible is $100. She has previously satisfied $50.25 of her deductible. Doctor accepts assignment. What is the Patient’s portion?
Answer:
Since the patient has already satisfied $50.25 of the $100 deductible, $49.75 of the deductible remains. So this $49.75 will be applied to the UCR charges:
$2750 - $49.75 = $2700.25
Now that the deductible is satisfied, the coinsurance is applied to the remaining amount of $2700.25:
Coinsurance = 10% of $2700.25 = $270.03
So the total patient portion for this is:
Total = $49.75 + $270.03 = $319.78
Comments for Help With Patient Coinsurance and Deductible Responsibility
|
||
|
||
Mar 31, 18 09:47 AM
Besides networking .. visiting their offices, how else can you attract their business? When you close the collections month, how do you bill the physicians?
Mar 31, 18 09:36 AM
I have a potential client that is requested claim scrubbing resolutions (only corrections on claims submission errors) and insurance verification on the
Mar 31, 18 09:28 AM
The provider that I bill for just advised that he has a new tax ID. What is the process for this change? Would every insurance company need to be contacted?
All-Things-Medical-Billing.com provides this website as a service. Please read our full Disclaimer and Privacy Policy here.
Copyright 2022 All-Things-Medical-Billing.com