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3 Case Studies ad Help Save & Exit Submit Calculating Patients' Balonces After the insurance carrier makes a decision on a claim and the practice

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3 Case Studies ad Help Save & Exit Submit Calculating Patients' Balonces After the insurance carrier makes a decision on a claim and the practice receives and posts the payment, the patient's balance must be calculated. The claim case studies in this section provide practice in calculating balances by providing the Intest payment Information obtained from RAs for each patient in Chapter 15. Claim Cases 15.1 through 15.20. Based on the payment information from the RA, you must calculate each patient's balance. All answer amounts should have dollars and cents, le 0.00, 13.00, 13.50, 13.42, etc. Case Study 16.13 Patient Donald Alken The practice receives the following information on two different Ras. The first RA is from Medicare, the primary payer. The patient has met the Medicare deductible. The second RA is from the secondary cartier, AARP. PRIMARY CARRIER POS PROC 11 99203 11 36415 BILLED 103.00 17.00 ALLOWED 69.00 17.00 DEDUCT 0.00 0.00 COINS/COPAY 13.80 3.40 PROV PD 55.20 13.60 SECONDARY CARRIER POS PROC 11 99203 11 36415 Patient balance: $ BILLED 103.00 17.00 ALLOWED 69.00 17.00 DEDUCT 0.00 0.00 COINS/COPAY 0.00 0.00 PROV PD 13.80 3.40 3 Case Studies ad Help Save & Exit Submit Calculating Patients' Balonces After the insurance carrier makes a decision on a claim and the practice receives and posts the payment, the patient's balance must be calculated. The claim case studies in this section provide practice in calculating balances by providing the Intest payment Information obtained from RAs for each patient in Chapter 15. Claim Cases 15.1 through 15.20. Based on the payment information from the RA, you must calculate each patient's balance. All answer amounts should have dollars and cents, le 0.00, 13.00, 13.50, 13.42, etc. Case Study 16.13 Patient Donald Alken The practice receives the following information on two different Ras. The first RA is from Medicare, the primary payer. The patient has met the Medicare deductible. The second RA is from the secondary cartier, AARP. PRIMARY CARRIER POS PROC 11 99203 11 36415 BILLED 103.00 17.00 ALLOWED 69.00 17.00 DEDUCT 0.00 0.00 COINS/COPAY 13.80 3.40 PROV PD 55.20 13.60 SECONDARY CARRIER POS PROC 11 99203 11 36415 Patient balance: $ BILLED 103.00 17.00 ALLOWED 69.00 17.00 DEDUCT 0.00 0.00 COINS/COPAY 0.00 0.00 PROV PD 13.80 3.40

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