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Case 13.2 Calculating Insurance Math Patient Payment Claim Adjustment Patient Date of Provider Allowed (Coinsurance and Reason PROV Patient ID Name Plan Service Procedure
Case 13.2 Calculating Insurance Math Patient Payment Claim Adjustment Patient Date of Provider Allowed (Coinsurance and Reason PROV Patient ID Name Plan Service Procedure Charge Amount Deductible) Code PAY BBG-88-5267 Ramirez, R-1 Gloria B. 02/13/2029- 99214 02/13/2029 $105.60 $59.00 $8.85 2 $50.15 348-99-2537 Finucula, R-1 Betty R. 01/15/2029- 99292 01/15/2029 $88.00 $50.00 $7.50 2 $42.50 537-12B-5267 Ramirez, 760-57-5372 Jugal, R-1 Gloria B. 02/14/2029- 02/14/2029 90732 $38.00 0 $38.00 49 0 R-1 Kurt T. 121ZZul Quan, Mary K. PPO-3 02/16/2029- 20005 02/16/2029 02/16/2029- 93975 $580.00 $261.00 02/16/2029 99204 $178.00 $103.00 $192.00 $156.00 $139.15 12 $121.85 $15.45 $87.55 $31.20 2 $124.80 The preceding RA has been received by a provider. A. What is the patient coinsurance percentage required under plan R-1? B. What is the patient coinsurance percentage required under plan PPO-3? C. What is Gloria Ramirez's balance due for the two dates of service listed? TOTAL $426.85 < Prev 1 of 1
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