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Medical Insurance Calculations


If H6 amount is greater than E8 then the answer in F8 will be the same as H6. If not, F8 will be the difference between H6 and E8.

The above will be used for the deductible amount as follows:

If patient A has a $1,000 deductible and the allowed amount for the product is only $250.00, then all of that woudl be the patient responsibility. However, if the patient has a $250.00 deducble and the allowed amount is $1,000 then the patient would only owe the $250.00 deductible.

Is there a formula that can decipher this?


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