A radiology firm charges $3,500 per exam. An insurer’s allowed fee is 80 percent of charges. The allowed fee is the maximum amount an insurer will pay for a covered service Its beneficiaries pay 25 percent of the allowed fee. How much does the insurer pay? How much does the beneficiary pay?

Respuesta :

To calculate how much the insurer pays and how much the beneficiary pays, we'll need to follow the given information.

The radiology firm charges $3,500 per exam, but the insurer's allowed fee is 80% of the charges. So, the allowed fee would be 80% of $3,500, which is $2,800.

Now, the beneficiary pays 25% of the allowed fee. To find out how much they pay, we can calculate 25% of $2,800, which is $700.

Therefore, the insurer pays the remaining amount, which is the allowed fee minus the beneficiary's payment. In this case, the insurer pays $2,800 - $700, which is $2,100.

So, the insurer pays $2,100 and the beneficiary pays $700.