There is a video resource that demonstrates

There is a video resource that demonstrates a similar scenario. More information is available to you in Chapter 9 of your text. Specific tips are: · Participating provider receives the full amount listed on the Physician’s Fee Schedule (PFS). · Limiting charge = the highest amount the provider can collect from the patient & insurance = PFS x 115% Fill in the blanks in the following payment situations: 1A Participating Provider no remaining deductible Physician’s standard fee $ 320 TRICARE fee $ 235 Patient pays 20% $ TRICARE pays 80% $ Provider adjustment (write-off) $ 1B Participating Provider with remaining deductible Physician’s standard fee $320 TRICARE fee $235 Patient pays remaining deductible ($100) $ Patient pays 20% remaining charge $ TRICARE pays 80% remaining charge $ Provider adjustment (write-off) $ SCIENCE HEALTH SCIENCE NURSING HP 214

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