Question

2. The patient's coinsurance percentage is stated as 75-25 in the insurance policy. The deductible for the year has been met. If the visit charges are $1000, what payment should the medical insurance specialist expect
from the insurance company (payer? What amount will the patient be expected to pay?

Answer 1

The insurance policy specifies a 75-25 patient coinsurance ratio. The annual deductible has been satisfied. What payment should the medical insurance specialist anticipate if the appointment costs $1000 by way of the insurance firm the patient be expected to pay $750 ins; $250 patient.

An insurance expert is a specialist who advises customers and asset managers on risk management and interprets insurance policies. To create a complete solution that works well with the client's portfolio, insurance professionals need to have a thorough grasp of risk management.

The insurance policy, which establishes the claims that the insurer is legally obligated to pay, is a contract (often in standard form) between the insurer and the policyholder.

Learn more about  insurance policy

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