OIC - Applying Concepts Ch 2 #5
5. The patient has two insurance policies. Each policy's coinsurance is 80-20. If the patient has charges totaling $845, what amount should the medical insurance specialist expect to be reimbursed from Insurer A? From Insurer B? For what amount should the patient be billed?
Homework Answers
The patient has two insurance policies, and both policies' coinsurance is 80-20. So, it does not matter which Insurer will reimburse first.
Let's assume; The patient will use his insurance A first, then insurance B.
Patient's total bill = $845.
Insurer A will pay = (80/100)*845 = $676.
So, the left amount of the bill is = (845-676) = $169.
Now, The Insurer B is going to pay the 80% of $169 that means = (80/100)*169 = $135.2.
So, the amount will be billed for patient is = (169-135.2) = $33.8.
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OIC - Applying Concepts Ch 2 #4
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OIC - Applying Concepts Ch 2 #6
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OIC - Applying Concepts Ch 2 #3
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OIC - Applying Concepts Ch 3 #2
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