Copay vs Coinsurance? 😱 How to Know Which Applies to Certain CPT Codes

Published: 01 September 2024
on channel: Inlera University
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"I struggle to know when a payer is going to apply a copay versus coinsurance. Which can make it hard to give an accurate estimate. Running benefits on the payer will often show a copay and coinsurance but how do I know which applies to which CPT code? If they're going to only pay a copay for the visit or coinsurance for the allowed amount? I hope that makes sense."

What a great question! It absolutely made sense, and Jasmine is here to explain the best method to apply copay and coinsurance to CPT codes in medical billing and coding!
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