HS240_Unit6Assignment_Medical Office Accounting_Tanya_Rodriguez.docx

Amount ded amount copay paid at payment amount

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Amount Ded Amount Copay Paid at Payment Amount 06/03/20XX 99204 250.00 0.00 48 136.00 114.00 0.00 0.00 80% 91.20 06/03/20XX 94375 40.00 0.00 48 0.00 40.00 0.00 0.00 80% 32.00 06/03/20XX 94060 75.00 0.00 48 0.00 75.00 0.00 0.00 80% 60.00 06/03/20XX 94664 50.00 0.00 48 0.00 75.00 0.00 0.00 80% 38.76 06/03/20XX 94760 50.00 0.00 48 4.40 45.60 0.00 0.00 80% 36.48 TOTAL 465.00 0.00 141.95 323.05 0.00 0.00 258.44 Total Payment Amount 258.44 CBT CODE Reason Code 99204 OFFICE/OUTPT VISIT E/M NEW MOD-HI SEVERIT 48 CON DISCOUNT/PT NOT RESPONSIBLE 94375 RESPIRATORY FLOW VOLUM LOOP 94060 BRONCHOSPSM EVAL SPIROM PRE and POST BRON
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94664 AEROSOL/VAPOR FOR INHAL; INT DEMO and EVAL 94760 NONINVASIVE EAR/PULSE OXIMETRY-02 SAT If you have any questions, call Blue Cross Blue Shield at (800) 255-9091
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Medical Office Accounting I Ledger: Blue Cross Blue Shield ID # KT4496785 Group # 55124T Subscriber: Ken Thomas Ken Thomas 398 Larkin Avenue DOB: 10/25/1961 Anytown, Anystate 12345-1234 Date Service Description Charges Payments Adjustments Balance 06/03/20XX 99204 250.00 250.00 06/03/20XX 94375 40.00 290.00 06/03/20XX 94060 75.00 365.00 06/03/20XX 94664 50.00 415.00 06/03/20XX 94760 50.00 465.00 Ledger Summary:
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Scenario 2: Martha Bravo is seeing Dr. Walden for the first time for hypothyroidism (ICD- 10-CM; E03.9). She makes the $30 copayment at the time of the office visit. Name: Martha Bravo Address: 1234 Anywhere Station Anywhere, Anystate 12345 Contact #1: (212) 555-1212 Contact #2: (212) 555-1313 Emergency Contact: John Bravo (212) 555-2627 SSN: 111-22-3333 DOB: 1/23/56 Health Insurance Information: Carrier: Aetna Subscriber: Martha Bravo Subscriber DOB: 1/23/56 ID #: XEK3332328748 Group #: X1000 Effective Date: 1/1/20XX Employer Information Name: Malibu Gardening Contact: (212) 555-5151 Ledger: Health Insurance Carrier: ID #: Group #: Subscriber: Patient name Address DOB: Date Service Description Charges Payments Adjustments Balance Ledger Summary:
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Medical Office Accounting I
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  • Spring '16
  • Gerald Burke

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