You received a call from patient Kennedy Rodriguez regarding a statement she received from your office for $100. She believes bill is an error, as her benefits should cover 100% of all office services % and wants you to review. After reviewing her account, y see she was treated in early January by her primary care physician for a medical visit (99215) and diagnosed with a migraine wit aura (G43.0). The charged amount was $100 and was applied by her health plan to her deductible.
Her benefits are as follows:
HMO medical care for office services Annual deductible: $500
In-network benefits pay at 100% after deductible is met.
Primary care physician office copayment: $0
Specialist office copayment: $25 .
Out-of-network services non-covered without referral or prior authorization.
What is the correct response to the patient?