Use the following information for questions 26 through 28. Mrs. Jones has health insurance provided by her employer. Her coverage is a high deductible health plan offered by Blue Cross Blue Shield (BCBS); the amount of her deductible is $5,000. Assume she has no co-pay. Mrs. Jones had emergency surgery at Pima Community Hospital (PCH), and her charges totaled $59,000. BCBS has negotiated discounted rates with PCH; for the surgery Mrs. Jones had, the negotiated reimbursement is $30,000. PCH bills BCBS $25,000, and bills Mrs. Jones $5,000 Assume that Mrs. Jones does not have the financial resources to pay her bill. What amount of net patient service revenue should PCH record related to Mrs. Jones surgery?
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When a defendant who has a standard automobile insurance pol…
When a defendant who has a standard automobile insurance policy is sued by a plaintiff, his insurance company:
A medical authorization is needed in order for you to obtain…
A medical authorization is needed in order for you to obtain medical records on behalf of your client.
The term for the burden of proof in a civil case
The term for the burden of proof in a civil case
The attractive nuisance doctrine
The attractive nuisance doctrine
The body of judicial decisions stretching back for centuries…
The body of judicial decisions stretching back for centuries.
Ron is walking by a lake and sees Rick, a stranger, apparent…
Ron is walking by a lake and sees Rick, a stranger, apparently drowning in deep part of the lake. Rick, clawing at the surface, yells out, “help! I’m drowning!” Ron, watching from the shore, does nothing to save Rick. Does Ron have a duty to save Rick?
Which of the following relationships is not considered to be…
Which of the following relationships is not considered to be a “special relationship” as that term is defined in chapter 5?
The type of fee arrangement typically seen between insurance…
The type of fee arrangement typically seen between insurance companies and insurance defense firms
A premises liability suit:
A premises liability suit: