Answered step by step
Verified Expert Solution
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
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started