Question
Juanita Berrios has managed care insurance with $20 copay for in-network providers. Use of an out-of-network provider means Juanita will have a $100 deductible and
Juanita Berrios has managed care insurance with $20 copay for in-network providers. Use of an out-of-network provider means Juanita will have a $100 deductible and 55-45 reimbursement. Juanita visited her network PCP on 4/13; the charge was $135. What amount is due from the patient?
Juanita (see the previous questions) saw an out-of-network provider on 5/3 the charge was $212. What amount is due from the patient? What amount is reimbursed by the insurance company? Enter the information on her ledger card.
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