Maria's Medical Practice Gross Fee for Service Calculation

What is the insurer's portion that will be collected by Maria's Medical Practice based on the given scenario?

The insurer's portion that will be collected by Maria's Medical Practice can be calculated as follows: The client's co-pay represents 25% of the adjusted fee for service, which is: $375 = 25% x Adjusted Fee Dividing both sides of the equation by 25%: Adjusted Fee = $375 / 25% Adjusted Fee = $375 / 0.25 Adjusted Fee = $1,500 To calculate the insurer's share of the adjusted fee, you can subtract the co-pay from the adjusted fee: Insurer's Share = Adjusted Fee - Co-pay Insurer's Share = $1,500 - $375 Insurer's Share = $1,125 Therefore, the insurer's portion that will be collected by Maria's Medical Practice is $1,125.

Calculation Details

The client's co-pay is calculated as 25% of the adjusted fee for service, which is $375 in this scenario. By dividing the co-pay amount by 25%, we can determine that the adjusted fee for service is $1,500. Insurer's Share Calculation: To find the insurer's portion, we subtract the co-pay from the adjusted fee for service. In this case, the insurer's share is $1,125, which represents the amount that will be collected by Maria's Medical Practice from the insurer. In conclusion, based on the given scenario, Maria's Medical Practice will collect $1,125 as the insurer's portion for the completed procedure with a gross fee for service of $2,000.
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