A nonparticipating provider in TRICARE sees a patient and provides services for three allowed charges that total $400. Calculate the maximum amount they may charge the patient.

Question

Quizplus · Accepted Answer

Nonparticipating providers in TRICARE can charge up to 15% over the allowed amount for services. The allowed charges total $400, so 15% of $400 is $60. Adding that to the allowed charges gives a maximum amount of $460 that may be charged to the patient.

A Nonparticipating Provider in TRICARE Sees a Patient and Provides