John went to his family practice physician (Dr. Johnson). The allowable is $123.45. How will the payment to Dr. Johnson take place? Patient's Annual Year-to-Date Summary Prior to This Encounter: Toward Deductible: $2,385.45 Remaining Maximum OOP: $4,156.98 Total Insurance Consideration Amount Running Balance Insurance Allowance (Total) $ Deductible (Patient) $ $ Coinsurance/Copayment (Patient) $ $ Insurance Payment $ $ 3. Wanda went to the emergency department. The allowed payment for hospital is $6,285.55. How will the payment to the hospital take place? Patient's Annual Year-to-Date Summary Prior to This Encounter: Toward Deductible: $2,400.00 Remaining Maximum OOP: $1,785.22 Total Insurance Consideration Amount Running Balance Insurance Allowance (Total) $ Deductible (Patient) $ $ Coinsurance/Copayment (Patient) $ $ Insurance Payment $ $ 4. Michael had a 9-day stay at the local hospital. The allowable was $145,333.69. How will the payment to the hospital take place? Patient's Annual Year-to-Date Summary Prior to This Encounter: Toward Deductible: $2,500.00 Remaining Maximum OOP: $3,274.65 Total Insurance Consideration Amount Running Balance Insurance Allowance (Total) $145,333.69 Deductible (Patient) $0 $145,333.69 Coinsurance/Copayment (Patient) $3,274.65 $142,059.04 Insurance Payment $142,059.04 $0 5. Joe went to a urologist. The allowable for this visit was $98.75. How will the payment to the urologist?

Answer rating: 100% (QA)

To understand how payments to healthcare providers are processed in the given scenarios it is important to consider typical health insurance terms and ... View the full answer