The patient is seen by his family physician for follow-up treatment of recently diagnosed asthmatic bronchitis. The physician’s fee is $75. The patient’s copayment is $20. The patient’s insurance plan covers 80% of the fee schedule amount of $60. No deductible is required.

a. Enter the amount the patient pays the provider: __________________
b. Enter the amount the payer reimburses the provider: ______________
c. Enter the amount the provider “writes off” the account: ____________

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