Question

Calculate and show computations: You work for Dr. C, he does not accept assignment. He is treating Mr. Robinson for allergies. Mr. Robinson has Medicare Part A. You send in a bill to Medicare for $135 that Mr. Robinson owes you. What portion of the bill will Medicare pay?_$108 x 30 102 **** ** ** ********** ** ** ******************* Mr. Iba, a Medicare patient with a Medigap insurance policy, is seen for an office visit, and the fee is $80. The Medicare-approved amount is $54.44. The patient has met his deductible for the year. The Medicare payment check is $ After the claim is submitted to the Medigap insurance, the Medigap payment check is To zero out the balance, the Medicare courtesy adjustment is $ Bill 580 Approved 54.44

Answer 1

Medigap Insurance policy covers the healthcare costs not covered under Medicare Insurance policy.

Outpatient fee paid by the patient = $ 80

The medicare approved amount is = $ 54.44

The Medicare payment check is $ 64

After the claim is submitted to the Medigap insurance, the medigap payment check is $ 10

TO zero out the balance, the medicare courtesy adjustment $ 6