Mr. Iba, a Medicare patient with a Medigap insurance policy, is seen for an office visit, and the fee is $80. The Medicare-approved amount is $54.44. The patient has met his deductible for the year.

a. The Medicare payment check is $______

b. After the claim is submitted to the Medigap insurance, the Medigap payment check is ___________

To zero out the balance, the Medicare courtesy adjustment is____________ . Mathematical computations: usually.

I am not sure how to work this problem.