Scenario: Amari has 85/15 coinsurance for non-PAR providers…
Scenario: Amari has 85/15 coinsurance for non-PAR providers and 90/10 for PAR providers. She has $1000.00 annual deductible; $880 has been met so far this year. She saw a PAR provider today for the following: CPT Code: 99214 Charge: $222.00 Allowed: $198.00 CPT Code: 99300 Charge: $110.00 Allowed: $92.00 CPT Code: 81000 Charge: $19.00 Allowed: $16.00 CPT Code: J1485 Charge: $75.00 Allowed: $65.00 CPT Code: J4690 Charge: $100.00 Allowed: $48.00