answer key
Appeal Process CARE work the pa der STATEMENT Financial Account Mr Jabe Bortolussi 989...
Appeal Process CARE work the pa der STATEMENT Financial Account Mr Jabe Bortolussi 989 Moorpark Road Woodland Hills, XY 12345 Birth date 04-07.71 W 1555) 349-6689 Phone No. (H (5551230-2970 Primary insurance Co. Policy/Group No. 4206/010 ABC Insurance Company CREDITS PYMNTS ADJ CHARGES BALANCE DATE DESCRIPTION REFERENCE BALANCE FORWARD 250 00 6-3-X E/MNP Level 4 99204 25000 29000 365 00 63-XX 94375 Respiratory flow vol loop 8-3-xx 94060 Spirometry Aerosol inhalation 94664 6-3- 415 63-X 00 Pulse oximetry 94760 PLEASE PAY LAST AMOUNT IN BALANCE COLUMN THIS IS A COPY OF YOUR FINANCIAL ACCOUNT AS IT APPEARS ON OUR RECORDS Fig. 16.2 246 Chapter 18 Receiving Payments and Insurance Problem Solving Copyright 2020 Elsevier, Inc. All Rights Reserve