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The following information is presented on a patients Medicare MSN. What does the patient owe? BILL SUBMITTED BY: Dr. Anthony B. Starpish 29 Washington Square

The following information is presented on a patients Medicare MSN. What does the patient owe?

BILL SUBMITTED BY:

Dr. Anthony B. Starpish 29 Washington Square North New York, NY 10011

Date Services and Service Code Medicare Charges

Approved

2-10-2016

1 Destruction of hemorrhoids (46934-78)

$325.00

$194.78*

(Note: *The approved amount is based on the fee schedule.)

Explanation:

Of the total charges, Medicare approved $194.78 (The provider agreed to accept this amount).
Your 20 percent $38.96
The 80 percent Medicare pays $155.82

You have already met the deductible for 2016.

Amount owed by the patient: $

22.

Required information

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