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A patient has a $100 deductible that he has not met this year. He has 80% insurance coverage (of allowed charges) once the deductible is met. The charges for the initial visit today are $150 and the insurance carrier approves the entire amount ($150).As you read this chapter, consider the following questions:

1
How much should this patient pay?
2
How much will he owe for his next visit this year, which is expected to have a charge of $200?
3
Assuming that the patient in the case study has a managed care policy, what type of policy does he probably have?
4
What term would you use to describe the part of the payment that is based on 20% of the charges?
5
If you did not know whether the deductible had been met, what procedure would you follow?







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