Case 6.3 Calculating Insurance Math Case 6.3 Calculating Insurance Math Note: this question will not be automatically graded. It will be sent to your instructor for review. Dr. Mary Mandlebaum is a PAR provider in Medicare and in Mountville Health Plan, which has allowed charges for services and does not permit balance billing of plan members. She is not a PAR provider in the Ringdale Medical Plan. Based on the following table of charges, calculate the charges that the payer and the patient will pay in each of the situations. Show your calculations. A. Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250;8020 coinsurance Services: CPT 99203, 90700 Payer Reimbursement: Patient Charge: B. Insurance Plan: Mountville Health Plan; patient has paid $125 toward an annual deductible of $500;80-20 coinsurance Services: CPT 99215, 93040,94010 Payer Reimbursement: Patient Charge: Payer Reimbursement: Allowed charges: $119+$36+69=$22480%= $179.20 patient charge: $22420%=$44.80 C. Insurance Plan: Ringdale Medical Plan A; no deductible or coinsurance; copayment of $5/PAR;$25/ NonPAR Services: CPT 99212 Payer Reimbursement: Patient Charge: D. Insurance Plan: Ringdale Medical Plan B; patient has met annual deductible of $300;80 - 20 coinsurance Services: CPT 99215 Payer Reimbursement: Patient Charge: E. Insurance Plan: Medicare; annual deductible has been met by patient Services: 99213,93040 Payer Reimbursement: Patient Charge