Problem:
You are the patient advocate for Midwest Regional Health Center. You often receive questions from patients regarding their bills. Today you received a call from Mrs. Smith. She received a document called an Explanation of Benefits (EOB) and does not understand it. Here is the information from Mrs. Smith's EOB: Provider: James Turner, M.D. Date of Service: 10/2/20XX Type of Service: Office Visit Amount Submitted: $100.00 Amount Allowed: $75.00 Coinsurance: $15.00 Deductible: $0 (has been met) Copay: $0 (no co-pay for Dr. Turner as he is a specialist) Answer the following questions: Explain the EOB to the patient. Explain the difference between the amount submitted and the amount allowed. Mrs. Smith is upset after you explain the difference between the amount submitted and the amount allowed as she believes Dr. Turner overcharged her by $25.00. She tells you she is going to call his office and let him have it! What will you say in response? Explain the process to the patient. Need Assignment Help?