ilitary service 10. [LO 11.2] The TRICARE health care program is a covered entity and subjec under A. NAS C. TCS CHAMPVA B.

ilitary service 10. [LO 11.2] The TRICARE health care program is a covered entity and subjec under A. NAS C. TCS CHAMPVA B. HIPAAD. Applying Your Knowledge LO 11.2] Case 11.1 Fill in the blanks in the following payment situations: Participating Provider Physician’s standard fee $350.00 TRICARE fee $265.00 TRICARE pays 80 % Patient pays 20% $ Provider adjustment (write-off) Nonparticipating Provider (Accepts Assignment) Physician’s standard fee $285.00 $165.00 TRICARE fee S TRICARE pays 80% Patient pays 20% Provider adjustment (write-off) Nonparticipating Provider (Does Not Accept Assignment) Physician’s standard fee $130.00 $95.00 TRICARE fee Limiting charge Total provider can collect TRICARE pays patient Patient out-of-pocket expense Provider adjustment (write-off) TRICARE AND CHAMPVA 240 Chapter 11 1!! 0

 
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