HOSPITAL CLAIMS PRICING PAYMENT CALCULATIONS 1. Payment of 75%
of total charges on a claim that is priced at $152,276.89
__________
2 Payment of 80% of total charges on a claim that is priced at
$60,865.00 ________________
3 Payment of a claim where the patient stays 7 days at a rate of
$19,350.50 per day____________
4 Payment of a claim where the patient stays 10 days at a rate
of $27,876.77 per day __________
5 Payment of a claim where the patient stays 1 days at a rate of
$9,876.77 per day __________
6 Payment of an ER claim with a stay of 8 hrs. At a rate of
$9,876.77 per day __________
7 Payment of a claim where the patient had Ambulatory surgery.
The negotiated rate for the service is $8, 376.41 and the total
charge on the claim was $20,280.00 __________
HOSPITAL CLAIMS PRICING PAYMENT CALCULATIONS 1. Payment of 75% of total charges on a claim that is priced at $152,276.89
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