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How do I calculate insurance reimbursement?
There aren't any examples in my textbook -___- I'm not gonna write out the entire question just the important parts.
The physicians fee is $75
The patients copayment is $20 and is not required to pay any additional amount to the provider. The payer reimburses the physician $28. How much does the patient pay the provider? How much does the provider write off? Do I take the amount that is reimbursed and subtract it from the physicians fee? OR do I add together the copay and reimbursement to then subtract THAT from the physicians fee?
1 Answer
- GregLv 75 years agoFavorite Answer
The patient pays the copay "and is not required to pay any additional". So what does that mean?
So fee - (copay + reimbursement) = write off
