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COMPLETE IN DETAIL WITH INFORMATION LISTED – ## WK7ASSIGNMENT1HP-214.docx **## WK7ASSIGNMENT1HP-214.docx** WK7 ASSIGNMENT1 HP-214 Health Insurance Calculations – Tricare Participating Provider There is a video resource that demonstrates a similar scenario. [Ch. 11 Connect, #12 Tutorial](https://www….
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COMPLETE IN DETAIL WITH INFORMATION LISTED
– ## WK7ASSIGNMENT1HP-214.docx
**## WK7ASSIGNMENT1HP-214.docx**
WK7 ASSIGNMENT1 HP-214
Health Insurance Calculations – Tricare Participating Provider
There is a video resource that demonstrates a similar scenario.
[Ch. 11 Connect, #12 Tutorial](https://www.youtube.com/watch?v=j5hyfL028iM) More information is available to you in Chapter 9 of your text.
## Use the attached assignment document to complete and submit for grading.Health Insurance Calculations – Tricare Participating Provider
There is a video resource that demonstrates a similar scenario.
[Ch. 11 Connect, #12Tutorial](https://www.youtube.com/watch?v=j5hyfL028iM). More information is available to you in Chapter 9 of your text. Specific tips are:
· Participating provider receives the full amount listed on the Physician’s Fee Schedule (PFS).
· Limiting charge = the highest amount the provider can collect from the patient & insurance = PFS x 115%
**Fill in the blanks in the following payment situations:**
## 1A
**Participating Provider no remaining deductible**
Physician’s standard fee $ 320
TRICARE fee $ 235
Patient pays 20% $
TRICARE pays 80% $
Provider adjustment (write-off) $
## 1B
**Participating Provider with a remaining deductible**
Physician’s standard fee $320
TRICARE fee $235
Patient pays remaining deductible ($100) $
Patient pays 20% remaining charge of $
TRICARE pays 80% remaining charge $
Provider adjustment (write-off) $
**## WK7ASSIGNMENT1HP-214.docx**
WK7 ASSIGNMENT1 HP-214
Health Insurance Calculations – Tricare Participating Provider
There is a video resource that demonstrates a similar scenario.
[Ch. 11 Connect, #12 Tutorial](https://www.youtube.com/watch?v=j5hyfL028iM) More information is available to you in Chapter 9 of your text.
## Use the attached assignment document to complete and submit for grading.Health Insurance Calculations – Tricare Participating Provider
There is a video resource that demonstrates a similar scenario.
[Ch. 11 Connect, #12Tutorial](https://www.youtube.com/watch?v=j5hyfL028iM). More information is available to you in Chapter 9 of your text. Specific tips are:
· Participating provider receives the full amount listed on the Physician’s Fee Schedule (PFS).
· Limiting charge = the highest amount the provider can collect from the patient & insurance = PFS x 115%
**Fill in the blanks in the following payment situations:**
## 1A
**Participating Provider no remaining deductible**
Physician’s standard fee $ 320
TRICARE fee $ 235
Patient pays 20% $
TRICARE pays 80% $
Provider adjustment (write-off) $
## 1B
**Participating Provider with a remaining deductible**
Physician’s standard fee $320
TRICARE fee $235
Patient pays remaining deductible ($100) $
Patient pays 20% remaining charge of $
TRICARE pays 80% remaining charge $
Provider adjustment (write-off) $
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