16.3
1 through 9 please.
MEDICARE NATIONWIDE PROVIDER REMITTANCE 1000HIGH ST. THIS IS NOT A BILL TOLEDO, OH 43601 APAYMENT SUMMARY AND AN EXPLANATION OF CODES ARE AT THE END OF THIS STATEMENT VALLEYASSOCIATES,PC1400WESTCENTERSTREETTOLEDO,OH43601.0213PAGEDATEIDNO:10F310/15/296666222 PROVIDER: CHRISTOPHER CONNOLLY, MD PATIENT: ZYLERBERG JOSEPH CLAIM: 900722411 PT RESP: 26.40 CLAIM INFORMATION FORWARDED TO: MEDICAID PATIENT: LANKHAAR NANCY CLAIM: 900722413 CLAIM INFORMATION FORWARDED TO: AARP PATIENT: AIKEN DONALD CLAIM: 900722416 PT RESP: 17.20 10081008CLAIMTOTALS:10082910082911119920336415120.001186.00103.0017.00.0069.0017.00.00000068.80000055.2013.60 CLAIM INFORMATION FORWARDED TO: AARP PATIENT: ESTEPHAN WILMA CLAIM: 900722411 PT RESP: 8.40 '\$7.0O OF THIS ALLOWED AMOUNT HAS BEEN APPLIED TOWARD PATIENTS DEDUCTBLE. CLAIM INFORMATION FORWARDED TO: AARP 1. As of October 15,2029 , how many patients on the RA have paid their Medicare Part B deductible for 2029 in full? 2. Have any of the patients been denied payment for a claim? 3. How do fees charged by Valley Associates, PC, compare with the Medicare-approved amounts on the claim? 4. How much of the allowed amount for procedure 99204 is Joseph Zylerberg responsible for? What percentage of this will his secondary plan pay, assuming that he pays the $15 copay for the visit? 5. Donald Aiken is responsible for how much of the allowed amount for procedure 36415 ? How much of this will his secondary plan pay? 6. Notice that the PT RESP amount is shown for each person on the claim. Should you bill the patients for these amounts now? 7. Notice that Wilma Estephan's PT RESP amount is $8.40 for a $14.00 procedure. How much of this amount represents her coinsurance responsibility? Does any of it represent her deductible? 8. The allowed amount for procedure 99211 on Wilma Estephan's claim is \$14.00. Normally, Medicare pays 80 percent of the allowed amount, which, in this case, would be $11.20. Why has Medicare paid only $5.60 ? MEDICARE NATIONWIDE PROVIDER REMITTANCE 1000HIGH ST. THIS IS NOT A BILL TOLEDO, OH 43601 APAYMENT SUMMARY AND AN EXPLANATION OF CODES ARE AT THE END OF THIS STATEMENT VALLEYASSOCIATES,PC1400WESTCENTERSTREETTOLEDO,OH43601.0213PAGEDATEIDNO:10F310/15/296666222 PROVIDER: CHRISTOPHER CONNOLLY, MD PATIENT: ZYLERBERG JOSEPH CLAIM: 900722411 PT RESP: 26.40 CLAIM INFORMATION FORWARDED TO: MEDICAID PATIENT: LANKHAAR NANCY CLAIM: 900722413 CLAIM INFORMATION FORWARDED TO: AARP PATIENT: AIKEN DONALD CLAIM: 900722416 PT RESP: 17.20 10081008CLAIMTOTALS:10082910082911119920336415120.001186.00103.0017.00.0069.0017.00.00000068.80000055.2013.60 CLAIM INFORMATION FORWARDED TO: AARP PATIENT: ESTEPHAN WILMA CLAIM: 900722411 PT RESP: 8.40 '\$7.0O OF THIS ALLOWED AMOUNT HAS BEEN APPLIED TOWARD PATIENTS DEDUCTBLE. CLAIM INFORMATION FORWARDED TO: AARP 1. As of October 15,2029 , how many patients on the RA have paid their Medicare Part B deductible for 2029 in full? 2. Have any of the patients been denied payment for a claim? 3. How do fees charged by Valley Associates, PC, compare with the Medicare-approved amounts on the claim? 4. How much of the allowed amount for procedure 99204 is Joseph Zylerberg responsible for? What percentage of this will his secondary plan pay, assuming that he pays the $15 copay for the visit? 5. Donald Aiken is responsible for how much of the allowed amount for procedure 36415 ? How much of this will his secondary plan pay? 6. Notice that the PT RESP amount is shown for each person on the claim. Should you bill the patients for these amounts now? 7. Notice that Wilma Estephan's PT RESP amount is $8.40 for a $14.00 procedure. How much of this amount represents her coinsurance responsibility? Does any of it represent her deductible? 8. The allowed amount for procedure 99211 on Wilma Estephan's claim is \$14.00. Normally, Medicare pays 80 percent of the allowed amount, which, in this case, would be $11.20. Why has Medicare paid only $5.60
