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Crucial Exams

AAMA CMA Practice Question

A patient arrives for a scheduled appointment and presents an insurance card that includes a specified $20 co-pay for specialist visits. However, the patient states that they have met their annual out-of-pocket maximum and should not be charged. What is the appropriate action for the medical assistant to take?

  • Verify the patient's insurance benefits to determine if the co-pay is required.

  • Insist the patient pays the co-pay as indicated on the insurance card, disregarding the patient's claim.

  • Refuse service unless the co-pay is paid upfront regardless of the patient's out-of-pocket expenses for the year.

  • Do not charge the co-pay and allow the patient to see the specialist, taking the patient's word at face value.

AAMA CMA
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