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Under the per diagnosis ( reimbursement ) contract between the provider ( Dr . Roman's cardiology office ) and insurer ( Humanah ) , the

Under the per diagnosis (reimbursement) contract between the provider (Dr. Roman's cardiology office) and insurer (Humanah), the provider will be reimbursed in the range of $1,000 to $3,000 for any bone marrow transplant-related procedures and treatments that are listed/coded under DRG475. Dr. Roman performed a DRG475 listed procedure on Jennifer Lopeez that cost the provider $3,400 in total.
Which of the following is true?
Group of answer choices
none of the choices listed here
The provider "broke even": Dr. Roman's office will be reimbursed for any excess cost it incurred in Jennifer's case.
The insurer "lost": Humanah will have to reimburse Dr. Roman for the excess cost it incurred in Jennifer's case "plus a percentage for growth" (as defined in insurance and our textbook).
The insurer "lost": Humanah will have to reimburse Dr. Roman for the excess cost it incurred in Jennifer's case.
The provider "gained": Dr. Roman's office will be reimbursed for any excess cost it incurred in Jennifer's case "plus a percentage for growth" (as defined in insurance and our textbook).
The provider "lost": Dr. Roman's office will not be reimbursed for any excess cost it incurred in Jennifer's case.

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