Gary Tuttle has Citiwide Insurance with 100% coverage after a $25.00 copay on office visits. His services today include an office visit ($62

Question

Gary Tuttle has Citiwide Insurance with 100% coverage after a $25.00 copay on office visits. His services today include an office visit ($62.00), urinalysis with differential ($65.00) and a Treadmill ECG ($155.00), which were billed to his insurance company. The insurance approved/allowed $255.00 and paid 100% of the approved/allowed amount minus the copay already paid by the patient; answer the following: 11. How much is the copay? __________________________ 12. How much is adjusted? __________________________ 13. How much is the payment from the insurance company? ___________________________

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Caroline 3 months 2022-02-23T13:16:15+00:00 1 Answer 0 views 0

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    2022-02-23T13:17:16+00:00

    11. The Copay amount is $25.00

    COPAY can be defined as the amount which the person  that was been insured by the insurance company which is  Gary tuttle paid to the  insurance company which is Citiwide Insurance for insurance coverage.

    Therefore, the amount of COPAY will be $25.00 COPAY on office visits which was 100% paid.

    12. The adjusted amount is $2.00

    Using this formula

    Adjustment= (Office visit+Urinalysis+Treadmill ECG)-(Insurance approved/allowed+Copay)

    Let plug in the formula

    Adjustment=($62+$65+$155)-($255+$25)

    Adjustment=$282-$280

    Adjustment=$2.00

    13. The  payment from the insurance company is $255.

    The payment from the insurance company will be $255 which represent The insurance approved/allowed by insurance company which was 100% paid.

    In conclusion the copay amount is $25, Adjusted amount $2.00 and the payment from the insurance company is $255.

    Learn more about insurance here:

    https://brainly.com/question/10343938

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