ReimbursementPregunta 65 de 100
A patient with a $500 remaining deductible receives a service with an allowed amount of $800 and 20% coinsurance after the deductible. What is the total patient responsibility?
a.$560
b.$500
c.$160
d.$800
Explicación
The patient first pays the $500 deductible, leaving $300 of the allowed amount subject to coinsurance. Twenty percent of that $300 is $60, so total patient responsibility is $500 plus $60, which equals $560. The payer would pay the remaining $240.
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