you reviewed the claim 1500 form for patient Kevin Luke. you realize it is a new calendar year and he has not yet met his deductible. you had authorization on file for tr
you reviewed the claim 1500 form for patient Kevin Luke. you realize it is a new calendar year and he has not yet met his deductible. you had authorization on file for treatment. the total billed charge amount is $1,100. his benefits are as follows;
PPO-Medical Care for diagnostic testing
in-network benefit preauthorization required. pays at 100% after deductible is met
must meet a deductible. the annual family deductible is $500.
Calculate the expected reimbursement from insurance and what the patient will owe.
A. the patient pays $500
B. the patient pays the full $1,100
C. the patient pays $600
D. the patient pays nothing
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