Insurance Terminology
Ccma · Flashcards · Application
CCMA · FLASHCARDS
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QUESTION
Choose the term: EOB shows $0 paid because the service is excluded by the plan.
QUESTION
Calculate coinsurance: allowed charge $200, coinsurance
20
%
20\%
20%
, deductible met.
QUESTION
Identify contractual adjustment: billed $180, allowed $120, deductible met.
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ANSWER
$60 write-off. This is the difference between billed and allowed, which the provider discounts per contract.
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