A patient has an ER visit. A patient has two coverage plans: Anthem PPO through his employer and Medicaid through the state. Per the Anthem contract, we expect $1,500 for his visit; per our contract with the patient's plan's Medicaid MCO, we expect $400. The patient has a $3,000 deductible on his Anthem plan (no copay/no coinsurance) and has a no copayment, no deductible, and no coinsurance on his Medicaid plan. 

How much do we expect to collect on this account? Why?

Answer rating: 100% (QA)

Based on the information provided we expect to collect 400 for ... View the full answer