1. You reviewed the claim 1500 form for patient Kevin Luke. You realize it is a new calendar year?

... and he had not met his deductible. You had an authorization on file for treatment. Total billed charge amount is $1,100.00. His benefits are as follows:

PPO-Medical Care for diagnostic testing In-network benefit preauthorization required. Pays at 100% after deductible is met. Must meet deductible. Annual family deductible is $500.

Calculate the expected reimbursement from insurance and what the patient will owe