Billed amount, allowed amount, and coinsurance explained?
I hope this kind of post is allowed, but I'm having a hard time comprehending what I'm on the line for to pay and want to see if anyone can help confirm what I need to pay.
I received a bill from pathology for $370. I'm pretty sure I've already hit my deductible. I want to check if anyone can confirm I'm reading my EOB correctly. I emailed my insurance but what they responded is still confusing.
"The claim's date of service is 04/12/2024 and billed amount was $465.00 and it has the allowed amount of $118.02, we paid for a total of benefits of $94.42. Your responsibility is $23.60 is part of coinsurance."
That means ultimately I need to pay $23.60 to pathology, correct? The provider should be in-network, and there's nothing marked "Ineligible" on the EOB, just "Discount" for $346.98. I'm so confused, any insight would be helpful. Thank you guys!
submitted by /u/JoyandSka
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