A patient in a managed care plan receives services valued at $245 according to a provider's usual fee, but the allowed charge is only $220. The patient has a required copayment of $20. What is the adjustment that must be made by the practice?

Question

Quizplus · Accepted Answer

The adjustment is the difference between the provider's usual fee ($245) and the allowed charge ($220), which is $25. This is the amount the practice must write off, as it exceeds the amount the managed care plan permits to be charged for these services.

A Patient in a Managed Care Plan Receives Services Valued