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For this case study the RA information is more limited. The details of the procedure(s) are not given. Based on the information provided, however, you should still be able to calculate the patient’s balance. Note that the claim for this case was originally created in Case Studies 15.11 through 15.20. All answer amounts should have dollars and cents, i.e. 0.00, 13.00, 13.50, 13.42, etc.

Case Study 16.19
Patient: John O’Rourke

Payer Anthem BCBS PPO
Charge amount $150.00
Allowed amount $105.00 (70% of charge amount)
Copayment $ 20.00, paid at the time of visit
Payment to provider $ 85.00

Patient balance: $



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