Which term indicates the amount passed on to the patient?

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Multiple Choice

Which term indicates the amount passed on to the patient?

The key idea is recognizing how patient balances are tracked in posting terms. The amount the patient is responsible for is the Patient Responsibility. This is the portion left for the patient to pay after any insurance payments and contractual adjustments have been applied. It includes copays, coinsurance, deductible amounts, and any remaining balance a patient owes. Labeling this as Patient Responsibility makes it clear that the provider expects the patient to cover that portion, rather than something covered by insurance or already paid. Not Allowed Amount refers to services or charges that the payer won’t cover or deem non-allowable, so it isn’t the amount passed to the patient. A Follow-Up Record is a documentation item, not a monetary amount. Paid Amount is the sum that has already been received, either from the patient or the payer, and doesn’t represent what remains the patient owes.

The key idea is recognizing how patient balances are tracked in posting terms. The amount the patient is responsible for is the Patient Responsibility. This is the portion left for the patient to pay after any insurance payments and contractual adjustments have been applied. It includes copays, coinsurance, deductible amounts, and any remaining balance a patient owes. Labeling this as Patient Responsibility makes it clear that the provider expects the patient to cover that portion, rather than something covered by insurance or already paid.

Not Allowed Amount refers to services or charges that the payer won’t cover or deem non-allowable, so it isn’t the amount passed to the patient. A Follow-Up Record is a documentation item, not a monetary amount. Paid Amount is the sum that has already been received, either from the patient or the payer, and doesn’t represent what remains the patient owes.

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