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- #11
Somarco, I did read what you provided. I was still unclear on patient responsibility.
I think LD found the answer I was looking for.
I didn't have time to read the whole document LD linked to, but it seems like she could only be personally billed by a provider for a maximum of her portion of Medicare charges as if she only had original Medicare, UP TO assignment (whatever her portion is based on GHP paying what they are obligated to pay, then Medicare paying, which may be little or nothing). In many cases, it seems like she won't be billed for anything if what GHP has paid is more than Medicare assignment.
LD, I did the math in my head, just rounding error on my part, but the assignment is more than $1200 so there would be a balance due from someone, just not Medicare.
I think LD found the answer I was looking for.
I didn't have time to read the whole document LD linked to, but it seems like she could only be personally billed by a provider for a maximum of her portion of Medicare charges as if she only had original Medicare, UP TO assignment (whatever her portion is based on GHP paying what they are obligated to pay, then Medicare paying, which may be little or nothing). In many cases, it seems like she won't be billed for anything if what GHP has paid is more than Medicare assignment.
LD, I did the math in my head, just rounding error on my part, but the assignment is more than $1200 so there would be a balance due from someone, just not Medicare.
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