Under an 80/20 plan, if a nonparticipating provider's usual charge is $200 for a procedure and the allowed amount is $150, the provider can collect:
$150 from the insurance carrier and $50 from the patient.
$120 from the insurance carrier and $30 from the patient.
$120 from the insurance carrier and $80 from the patient.
$160 from the insurance carrier and $40 from the patient.
Answer: $120 from the insurance carrier and $80 from the patient.
You might also like to view...
What is the pump discharge pressure when supplying a ground monitor using a 500 GPM fog nozzle with 100 psi nozzle pressure, supplied with two 2 ½ inch hose lines each 250 ft in length. (use long formula)
A. 130.7 psi B. 162.5 psi C. 222.7 psi D. 262.5 psi
You respond to a motor vehicle collision in which a 22-year-old woman has suffered several cuts. You determine that the airway is patent and the patient is breathing adequately. The patient's blood pressure is maintaining at a stable level, and you estimate that she has lost approximately 10 percent of her circulating blood volume. She is alert and oriented but seems nervous. From these findings,
you would determine that your patient is in ________ hemorrhage. A) Class I B) Class II C) Class III D) Class IV