Two patient scenarios follow. Using the criteria given, calculate the total amount each patient will have to pay out of pocket, including the coinsurance and deductible. Assume in both cases that Blue Cross and Blue Shields usual, customary, and reasonable fee for this procedure is $4250, and none of the yearly deductible has been met.

Patient 1

Steven Barnes	Provider is PAR
Cholecystectomy	Charge: $5000
Deductible: $500	Coinsurance 80/20
Total patient responsibility

Patient 2

Sylvia Manley	Provider is nonPAR
Hysterectomy	Charge: $5000
Deductible: $250	Coinsurance 90/10
Total patient responsibility

Illustrate on the portions of the following ledger cards how these charges and payments should be posted. The amount in the current balance column should reflect the total out-of-pocket amount the patient owes. Note: When posting services and payments, make sure you include the date the insurance claim was submitted (1 day after service) and the date the claim was paid (3/13/20XX).

Patient 1 (Steven Barnes)

Date Of Service	Procedure/Service Charged	Amount Paid	Amount Adjustments	Balance	Current
02/13/20XX	Cholecystectomy	5000.00			5000.00

Patient No. 2 (Sylvia Manley)

Date Of Service	Procedure/Service Charged	Amount Paid	Amount Adjustments	Balance	Current
02/13/20XX	Hysterectomy	5000.00			5000.00