What is the amount we expect aetna to allow

Assignment Help Operation Management

Reference no: EM133277413

Assignment:

Our Aetna contract states that we are to be reimbursed $700 per MRI scan. An Aetna cardholder comes to the hospital to have one MRI done on January 1 (the start of the patient's benefit year), and no other charges are billed to the plan the entire month of January. The patient has a $500 deductible and a 10% coinsurance that applies until he reaches his maximum out of pocket amount of $2,000.

a. What is the amount we expect Aetna to allow?

b. For this charge, what amount should Aetna remit as cash payment? How much will the patient owe?

Reference no: EM133277413

Questions Cloud

Difference between clickwrap and browsewrap agreement : The main difference between a "clickwrap" and a "browsewrap" agreement is:

Conduct an porters 5 forces framework on oyo rooms : Conduct an industry analysis using Porter's 5 forces framework on OYO Rooms. Undertake Porter's 5 Forces analysis to determine how much profit potential exists.

Prosecutor in criminal justice system : What is the proper role of the Prosecutor in the criminal justice system? What steps can be taken to fix these problems?

Pay particular attention to allegation of proximate cause : Draft a complaint based on these facts and pay particular attention to your allegation of proximate cause. How do you allege proximate cause under these facts?

What is the amount we expect aetna to allow : Our Aetna contract states that we are to be reimbursed $700 per MRI scan. An Aetna cardholder comes to the hospital to have one MRI done on January 1.

Criticism of public figures be protected in democracy : Considering recent defamation proceedings in Australia brought by public figures. Why should criticism of public figures be protected in a democracy?

What is the product strategy of the iphone : Who is the target customer of the iPhone and what is price strategy of the iPhone? What is the product strategy of the iPhone?

Analyze the effectiveness of the new proposal : Analyze the effectiveness of the new proposal brought before the Nursing home in the state of Louisiana during an emergency evacuation.

How much of the license fee is refunded to the applicant : On October 1st of an odd numbered year, a Missouri real estate sales person license is surrendered. How much of the license fee is refunded to the applicant?

User Account

All Pages