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Calculating Patients' Balances After the insurance carrier makes a decision on a claim and the practice receives and posts the payment, the patient's balance must
Calculating Patients' Balances
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 using the latest payment information obtained from RAs for each patient in Chapter Claim Cases through Use this information to calculate each patient's balance in the following case studies.
Case Study
Patient: Wendy Walker
The following information is received on an RA from the Medicare HMO plan. The patient made a $ copay at the time of the visit.
tablePOSPROC,BILLED,ALLOWED,DEDUCT,COINSCOPAYPROV PD
Patient balance: $
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