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Tip: Medical Claim Out-of-Pocket Cost Calculation

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Number

0038

Submitting Entities

All

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Description

Calculating out-of-pocket expenses on Medical Claims

Action / Resolution

Calculate out-of-pocket costs by adding MC065 (copay); MC066 (coinsurance); and MC067 (deductible) to get out-of-pocket.

Category 1

Out-of-Pocket Cost

Category 2

Tip / Issue

Tip



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