Fill the amount in blanks

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Reference no: EM131582940

Question: 1. The patient is seen by his family physician for follow-up treatment of recently diagnosed asthmatic bronchitis. The physician's fee is $75. The patient's copayment is $20, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician $28.

Enter the amount the patient pays the provider: ____________

Enter the amount the payer reimburses the provider: ____________

Enter the amount the provider "writes off" the account: ____________

2. The patient undergoes chemical ablation of one facial lesion in her physician's office. The physician's fee is $240. The patient's copayment is $18, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician $105.

Enter the amount the patient pays the provider: ____________

Enter the amount the payer reimburses the provider: ____________

Enter the amount the provider "writes off" the account: ____________

3. The patient undergoes arthroscopic surgery at an ambulatory surgical center. The surgeon's fee is $890. The patient's coinsurance is 20 percent of the $700 fee schedule, and the patient is not required to pay any additional amount to the provider. The payer reimburses the surgeon 80 percent of the $700 fee schedule.

Enter the amount the patient pays the provider: ____________

Enter the amount the payer reimburses the provider: ____________

Enter the amount the provider "writes off" the account: ____________

4. The patient was referred to an orthopedic specialist for evaluation of chronic ankle pain. The physician's fee is $150. The patient's coinsurance is 30 percent of the $100 fee schedule, and the patient is not required to pay any additional amount to the provider. The payer reimburses the physician 70 percent of the $100 fee schedule for this service.

Enter the amount the patient pays the provider: ____________

Enter the amount the payer reimburses the provider: ____________

Enter the amount the provider "writes off" the account: ____________

Reference no: EM131582940

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