Welcome to Week $3!$ This week students will go into the chapter $4$ Reading. There are two parts to this discussion. Both sections can be found in the book from here: To find Figure $4-8$ Students will go to the book, chapter four, section $4-2$d Readmittance Advice Reconciliation and payment of claims, scroll down to Figure $4-8$ to get the answer. In order to answer the question you must review the chapter.

Part $1$i Go to Chapter $4,$ Section $4-2$d Readmittance Advice Reconciliation and payment of claims. Scroll down to Figure $4-8.$ Review $4-8$ to answer the questions below. You must read the section before answering the questions. Interpreting an Explanation of Benefits

Refer to Figure $4-8($In your book$)$ to answer each of the questions below.

What is the patient's identification number?

What is the patient's copayment amount?

What amount did the payer pay to the provider?

Is the provider a network provider?

What amount was billed for the patient's encounter?

Part $2$: Students will need Figure $4-7($found in Section $4-2$d$)$ and Figure $4-9($found in section $4-4)$ in your chapter Reading. Next Students will

Writing an Appeal Letter

Go section $4-4$ and the sample appeal letter in Figure $4-9$ to prepare a letter of appeal based on the case scenario. Students will do it on the discussion forum. You can copy and paste figure $4-9($example of appeal letter$)$ and fill in the bottom.

Case Scenario: Upon review of the remittance advice in Figure $4-7,$ identify the reimbursement amount denied by the third$-$party payer and the reason for the denial. Then, using the sample appeal letter in Figure $4-9,$ prepare a letter of appeal requesting that the payer review the denied