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; 80-20 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: ____________

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: __