Under an 80/20 Plan, If a Participating Provider's Usual Charge

question 46

Multiple Choice

Under an 80/20 plan, if a participating provider's usual charge is $200 for a procedure and the allowed amount is $150, the provider can collect:

• A) $150 from the insurance carrier and $50 from the patient.
• B) $120 from the insurance carrier and $30 from the patient.
• C) $120 from the insurance carrier and $80 from the patient.
• D) $160 from the insurance carrier and $40 from the patient.

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Definitions:

Sugars

Simple carbohydrates with a sweet taste, essential for energy in living organisms, and serve as building blocks for more complex carbohydrates.

Humus

Partially decayed organic material in soil.

Soil Components

The various elements that make up soil, including minerals, organic matter, water, and air.

Negative Charge

An electrical charge characterized by the presence of more electrons than protons, resulting in the object having a lower electrical potential.