Scenario Based Quiz - Approved to pay

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1. If the claim is approved to pay then what will be your questions?




2. If the claim is approved to pay and payment is expected to release in 2 weeks then what will be your action?




3. A claim with a bill amount of $150.00 is allowed for $40.00 and paid for $32.00 then what would be the patient's responsibility & contractual adjustment amount?




4. A claim with a bill amount of $180.00 is paid for $40.00 and patient responsibility is $10.00 then what would be the allowed amount & contractual adjustment amount?




5. A claim with a bill amount of $220.00 is paid for $56.00 and the contractual adjustment is $150.00 then what would be the allowed amount & patient responsibility?




6. A claim is processed with the allowed amount of $60.00, PTR is $12.00 and contractual adjustment is $140.00 then what would be the billed amount & paid amount?




7. A claim with a bill amount of $250.00 is allowed for $80.00 and PTR is $16.00 then what would be the paid amount & contractual adjustment amount?




8. A claim with a bill amount of $240.00 is processed for a PTR of $15.00 and the contractual adjustment is $165.00 then what would be the allowed & paid amount?




9. A claim is processed and allowed for $90.00, paid for $72.00 and contractual adjustment is $180.00 then what would be the billed amount & patient responsibility?




10. A claim is processed and allowed for $85.00, PTR is $17.00 and contractual adjustment is $175.00 then what would be the billed amount & paid amount?








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