Applying Your Knowledge LO 11.2] Case 11.1 Fill in the blanks in the foliowing puyment situations: Participating Provider Physician's standard fee TRICARE fee TRICARE pays 80% Patient pays 20% Provider adjustment (write-off) S350.00 $265.00 Nonparticipating Provider (Accepts Assignment) Physician's standard fee TRICARE fee TRICARE pays 80% Patient pays 20% Provider adjustment (write-off) $285.00 $165.00 Nonparticipating Provider (Does Not Accept Assignment) Physician's standard fee TRICARE fee Limiting charge Total provider can collect $130.00 $ 95.00 TRICARE pays patient Patient out-of-pocket expense Provider adjustment (write-off) Enha . Pra e Acti 240 Chapter 11 TRICARE AND CHAMPVA