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If Mr. Gonzales’s insurance is primary, explain how the payment will be calculated by the insurance...

If Mr. Gonzales’s insurance is primary, explain how the payment will be calculated by the insurance carrier for today’s office visit and two lab
tests.

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ReportAnswer #1

A primary insurance is a policy which pays first as it were the only source of payment. Other insurance of policy holder is used only after the primary insurance reached its financial limit. The co- payment is used to pay the remaining amount.

ReportAnswer #2

After the deductible is met for the year, an 80/20 fee-for-service plan will pay 80% of the allowed charge for each procedure. 

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