LO 6.6–6.9 Insurance Plan: Ringdale Medical Plan A; no deductible or coinsurance; copayment of $5/PAR; $25/NonPAR
Services: CPT 99212
Payer Reimbursement: ____________ Patient Charge: ____________
Services: CPT 99212
Payer Reimbursement: ____________ Patient Charge: ____________