Module 3
Understanding Health Insurance Workbook
Workbook Chapter 4 Remittance Advice Assignment
Answer the following questions: Assignment 4.3 in workbook page 62-69
Use Figure 4-2 for these questions:
1. What is t
...
Module 3
Understanding Health Insurance Workbook
Workbook Chapter 4 Remittance Advice Assignment
Answer the following questions: Assignment 4.3 in workbook page 62-69
Use Figure 4-2 for these questions:
1. What is the check number and amount paid to the provider as recorded
on the remittance advice?
Answer: Check Number – 235698, Total Amount Paid - $860
2. What was patient John Coffee’s coinsurance amount for his visit on
4/6/xxxx?
Answer: $20
3. Patient James Eicher was not charged a coinsurance amount for his
04/15/xxxx visit. What is a possible explanation for this?
Answer: The service is a preventative service
4. What is patient Jenny Baker’s account number?
Answer: ACNT BAKE1234567-01
5. What is the allowed amount for procedure code 99213?
Answer: $60
Use figure 4-3 for these questions:
6. What is patient John Humphrey’s health insurance claim number?
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Answer: HICN569856217
7. How many patient’s in Figure 4-3 authorized assignment of benefits to Dr.
Wilkins?
Answer: 5
8. What is patient Grayson Kihlberg’s coinsurance amount for CPT code
99204?
Answer: $27
9. What was Craig Zane’s coinsurance amount for code 73600?
Answer: $0
10. What was the amount billed for patient Angel Brennan’s visit?
Answer: $80
Use figure 4-4 for the following questions:
11. What was the date of service for patient Christopher Hess?
Answer: 05/08/YY
12. What procedure code is listed for patient Mary Schwar
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