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QUESTION 1 On 9/10/21 the patient was seen for a 99213 EP OV level 3 with a charge of $125.00 ad the claim was sent

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QUESTION 1 On 9/10/21 the patient was seen for a 99213 EP OV level 3 with a charge of $125.00 ad the claim was sent to the insurance company. When you received the EOB it showed an allowable of $80 with a payment rate of 90%. The patient did not have a copay or deductible. Using the formulae below, please provide the patient's coinsurance for this encounter Insurance payment = (allowable X payment rate) - copay paid Coinsurance - allowable x coinsurance rate Reduction = original charge - allowable Patient liability = copay + coinsurance + deductible QUESTION 1 On 9/10/21 the patient was seen for a 99213 EP OV level 3 with a charge of $125.00 ad the claim was sent to the insurance company. When you received the EOB it showed an allowable of $80 with a payment rate of 90%. The patient did not have a copay or deductible. Using the formulae below, please provide the patient's coinsurance for this encounter Insurance payment = (allowable X payment rate) - copay paid Coinsurance - allowable x coinsurance rate Reduction = original charge - allowable Patient liability = copay + coinsurance + deductible

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