Answered step by step
Verified Expert Solution
Link Copied!

Question

1 Approved Answer

While reviewing an account, the total charges billed were $1,273.84. You noticed that there were no payments or adjustments that had posted on the account.

While reviewing an account, the total charges billed were $1,273.84. You noticed that there were no payments or adjustments that had posted on the account. This prompted you to contact the patient's insurance company, Aetna. Mary, the customer service representative, advised that the claim finalized on 01/14/2020 and the payment should be received within 30 days of the finalized date. The claim number 968745 had an allowed amount of $987.52. The insurance paid $790.01 and applied $197.50 towards the patients coinsurance. Before getting off of the phone, you review Aetna's contract. According to the contract, the facility Virtual Health Care should be receiving 75% of total billed charges. Was the contracted amount paid correctly? If not, explain why

Step by Step Solution

There are 3 Steps involved in it

Step: 1

blur-text-image

Get Instant Access to Expert-Tailored Solutions

See step-by-step solutions with expert insights and AI powered tools for academic success

Step: 2

blur-text-image

Step: 3

blur-text-image

Ace Your Homework with AI

Get the answers you need in no time with our AI-driven, step-by-step assistance

Get Started

Recommended Textbook for

Accounting What The Numbers Mean

Authors: David Marshall, Wayne McManus, Daniel Viele

10th Edition

77729870, 9780077729875

More Books

Students also viewed these Accounting questions