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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
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 latest 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, i.e. 0.00, 13.00, 13.50, 13.42, etc. Case Study 16.7 Patient: Donna Gaeta The practice receives the following information from Medicare Nationwide. The patient's plan covers an annual physical exam. POS 11 11 11 11 11 PROC 99387 99300 88150 81000 36415 BILLED 200.00 70.00 29.00 17.00 17.00 ALLOWED 142.00 29.00 29.00 17.00 17.00 DEDUCT 100.00 (due) 0.00 0.00 0.00 0.00 COINS/COPAY 8.40 5.80 5.80 3.40 3.40 PROV PD 33.60 23.20 23.20 13.60 13.60 Patient balance: $ 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 latest 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, i.e. 0.00, 13.00, 13.50, 13.42, etc. Case Study 16.7 Patient: Donna Gaeta The practice receives the following information from Medicare Nationwide. The patient's plan covers an annual physical exam. POS 11 11 11 11 11 PROC 99387 99300 88150 81000 36415 BILLED 200.00 70.00 29.00 17.00 17.00 ALLOWED 142.00 29.00 29.00 17.00 17.00 DEDUCT 100.00 (due) 0.00 0.00 0.00 0.00 COINS/COPAY 8.40 5.80 5.80 3.40 3.40 PROV PD 33.60 23.20 23.20 13.60 13.60 Patient balance: $
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