Question

Use the following figure to answer this question.

(Summary of Services:
Date of Service:6/22
Description: H. Pylori
Charges: $325.00
Adjustment: 97.50
Insurance paid: 182.00
You Pay: $45.50)

What is the term for the dollar amount that results from adding the Insurance paid amount to the You Pay amount?

a. Allowable charge
b. Write-off
c. Actual charge
d. Cost sharing amount

Answer 1

The term for adding the Insurance paid and You Pay amounts together is the 'cost sharing amount,' which for the given figures adds up to $227.50.

Step-by-step explanation:

The term for the dollar amount that results from adding the Insurance paid amount to the You Pay amount is known as the cost sharing amount. In the given summary, the Insurance paid is $182.00, and the You Pay amount is $45.50. To find the cost sharing amount, you would add these two figures together:

Insurance paid: $182.00
You Pay: $45.50
-----------------
Cost sharing amount: $227.50

The cost sharing amount represents the portion of the medical charges that the insurance plan and the individual are jointly responsible for paying.

Answer 2

Answer: Allowable Change

Explanation: Did this as well.