Basics of US Healthcare Chapter 3 - What is Deductible, Copay and Coinsurance

My Name is Santosh Pant and I am a Certified Professional Coder in US Healthcare Revenue Cycle Services Process. I have started this channel for the people who want to learn Medical Billing, Medical Coding, or Account Receivable online. Let's learn together.
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[@prtkverma]

No one can explain better than you Santosh. keep going..

[@Shaistasamikabetu]

Yes

[@nishapant-b8v]

I was always get confused in these terms sir . BUT as explained it, Now I understand these terms forever. Thanks sir

[@Zbar1111]

You are the only one who amakes this medical billing more understandable for an unexperienced person on a utube because i have seen alot of videos but your way of teaching is more understandable than others ..thankue so much for this effort

[@madhuribansi7646]

You are such a great teacher I have ever seen explaining Healthcare in our own language. Sir..Keep posting more videos so we can learn more from You.

[@pri611]

8llllllli8mmklll kk kklkkkklkkkkkklkkkklkkkkkkklkklkkkklkkkkkklkkkklkkkkkkkl000

[@madhuribansi7646]

Sir Could you please make videos on EOB,COB,Prior Authorization,HMO,PPO,POS. Medicare Parts?? It will help us to grow..

[@DesiFurBabies]

You are great teacher explaining everything very patiently and effectively. Keep posting more.

[@PrabhaMishra-t9b]

The way you explain is so wonderful. Anyone can understand in an easy way.Thank you Santosh sir

[@dharmeshsariyalvlogs]

Great sir please make videos on the popular denials like inclusive , globel to surgery I have been working with AR for last 4 years but I watch your all the videos to learn more

[@shivangisingh4299]

Thank you for uploading these videos about the US healthcare system. It has really helped me to have a good knowledge in my easy convenient way. Keep Posting..

[@anju_gupta]

Ar ke lie kya kya important hai ispe video bnao sir

[@codingacademy5271]

I am just started work in Denials and your videos helping me alot.

[@MariyamVlogs707]

i got selected for AR Role so to discusses for job description

[@tarandeepkaur9566]

Well explained. Please share a video on topic IPA and Health Plans, DOFR.

[@Sonu6sonu8551]

36 video dekhli smjh ni aya but apki video ek bar me hi smjh aa gya

[@dollygupta3430]

The way of explaining is mind blowing ..

[@jaydeepgokani870]

You are best teacher...atleast according to me. Please keep going.

[@ayushcoolgarg]

Very good santosh bro keep it up

[@sameerthakur2779]

EXCELLENT videos, really helfpul. Thanks a ton.

[@pratimashinde3900]

Thank you Sir, it was informative. It would be a great help if you could explain these terms with an example including the deductibles, discounts,copay at benefit level or bill item level, to get idea about actual calculations. Thank you so much once again.

[@shababhaider9725]

Awesome

[@SyedMuhamamdAli]

very nice sir

[@attiquerahman6152]

Sr your mathod of teaching is too good i pick all things clearly thank you sr v much I am from pakistan

[@vukms7305]

Hi Bro. i am also doing work. I need More Work. (i am doing work, simple practic, availity, myability software etc)

[@ArvindKumar-rd9kx]

Good. Waiting for more videos

[@Chemwarrior319]

Great 👍

[@VrushaliMasurkar]

This is the responsibility of the patient but why secondary insurance is sometimes paid.

[@aparnaghosal9962]

1. What information is neede to complete an individual application? 2. What information is needed to complete a group application?

[@nasrullahabbasi1965]

Salam,i am from Pakistan your vedios are very halpful for me thank you And I requested you please one day you do this job practically Mean you do your billing work front of us

[@azharali-sq9pu]

Thanks a lot sir thanks very much👍☺️

[@digitaltechshamshad]

Sir payment posting ke writen test wale questions par video banaye plz, jaise coinsurance 500$ dedu. 3000 to allowed amount kya hoga is type ke questions

[@Pasdpawn]

sir please make a video on catastrophic plans and best health insurance plan for mental health treatment

[@rajpratap6840]

Hi Santosh, Co-Insurance aur Co-Pay toh same to same hi btaya hai aapne isme different kya hai ?

[@atulupadhyay-zb2kp]

Sir reconsideration aur 1st level and 2nd level appeal explain Karo please.

[@simrangrover27]

Very helpful thanks for sharing 🙏

[@kunalkhatate4898]

its really helpful as I am working in this sector and its helping me to revise the basic terms

[@vukms7305]

Hi Bro. i am also doing work. I need More Work. (i am doing work, simple practic, availity, myability software etc)

[@codingacademy5271]

Best videos i saw on your channel for medical coder,biller specially for Indians. Thanks

[@mathematicalmysteries866]

Sir agr coinsurance mein patient ko pay krna prta h tou plan leina ka kia faida ho ga? Similarly co-payment mein b patient pay kr rha h tou insurance ka kia faida ho ga? Insurance company full responsibility kyun ni Le skti?

[@muntimaduguvali9836]

These 3 are patient responsibility deductible the periodic ammount paid by the subscriber to minimise furture health risk, co pay is the ammount paid before service like consultantcy fees coinsurance mean any insurance company naver pay 100% Ammount to the subscriber for health risk rest of the ammount which is not paid by insurance company that ammount should be paid by subscriber that ammount is called co insurance

[@SateeshKumar-ns1dr]

What, if we claim the initial claim to a different corporate insurance and show that statement to the 2nd insurer to whom we opted for deductable, will that work or not?

[@swetajoshi3388]

Thank-you so much for ur beautiful 💕 channel sir..

[@kglife-bk4gq]

What is the amount that insured person should pay with fixed percentage to the insurance company?

[@hareramprasad7791]

So beautiful pant G thanks for your support

[@mcxfinanceltd446]

Can you plz make a videos topic for offset, refund, recoupmeng, forwarding balance....thankx in advance

[@oldisgoldsong4919]

Awesome sir 👌👌👍

[@karangupta9241]

Thankyou so much ❤️❤️❤️

[@malikawan70]

Can insurance apply copay on two line items if a patient go for EKG and we bill 99214 and 93000 can insurance apply copay on both line items?

[@TheAspiringCentenarian]

I hope you have English version. hehe. Looks like these are helpful contents for US healthcare newbies like me

[@rajni4909]

Keep posting

[@m.kanchiram795]

Thank you so much sir your meaningful describe....

[@sagarrajguru1377]

Thank you sir 🙏

[@rajwala9934]

Can you make a videos on AR caller

[@karishmabanushaikh7930]

Sir can you explain in detail cms 1500 form and ub04 form

[@ritikagarwal1774]

Sir you are great

[@ItsRajeev_Singh]

Maximum out of pockets pr bhi video banao.

[@locationchromakey6343]

what is denied code x040

[@foodandhealthwithdranjalid2634]

Very well explained.

[@amed2643]

hi Santosh......great video. Can Coinsurance and Copay coexist?

[@dhruvkumargupta6344]

Very informative video santosh thank you soo much

[@vukms7305]

Hi Bro. i am also doing work. I need More Work. (i am doing work, simple practic, availity, myability software etc)

[@manjotkaur445]

Very nice explanation sir

[@Naveensingh-qi4il]

Thank you sir

[@usman_ali23]

Very well explained

[@apnatv4076]

Sir , Cms 1500 aur UB04 form me kya difference hai...???? How many cpt code billed in cms 1500 form ??? Sir iska answer bta do....

[@rameshpurohit3022]

Great Teacher🔥

[@awaishaider809]

good job. what is out of pocket maximum?

[@kunalkapur1286]

great explain sir,

[@muhammadnawaz8755]

kin kin services py deductible apply ni hota ,do you know about it.....from pakistan ,

[@ari9586]

Nice video..keep it up👍

[@mohitbandooni129]

the Way of talking it's too good 👍

[@technicalprediction7219]

Very good explanation 👍

[@yogeshkumar2300]

Nice information.

[@petermasih172]

Thank you bhai 😊

[@praveenhakke9018]

If deductible is not met and found other active insurance if we bill to that insurance they will refuse to pay because deductible amount is not met yet it's totally patient's responsibility. So why secondary insurance will pay? Ex:1000 dollar is annual deductible amount Patient first claim billed is 400 dollar. Primary applied towards deductible to patient 400 dollar, as per EOB if we bill to secondary active insurance so they will also refuse to pay until 1000 dollars will not met. My question is that why we need to bill secondary insurance.we need to bill patient, Until all visits of the patient billed amount cost 1000 dollar till we can bill patient

[@SantoshPantCPC]

in many cases secondary insurance covers primary deductibles for example: medicaid secondary

[@shabray5139]

Please make vedeos on property and casualty insurance

[@marrinahosey3295]

crystal clear explanation.

[@apnatv4076]

Hello sir, Apke video se hme interview me help mili hai...

[@vukms7305]

Hi Bro. i am also doing work. I need More Work. (i am doing work, simple practic, availity, myability software etc)

[@saamod8762]

Thanks sir

[@shwethakrishna5260]

Tq u so much for uploading this video...

[@saraswathigangotri7884]

Thank u sir....

[@KalaiSelvi-bm3pg]

Excellent teaching sir god bless u

[@vukms7305]

Hi Bro. i am also doing work. I need More Work. (i am doing work, simple practic, availity, myability software etc)

[@amanshrivastav7778]

job titles for different type of disease treatment pe video banaiye sir

[@Farhanmehfooz]

❤❤❤

[@aspiringbanker9227]

Thanku

[@Mohammad_Saleemzaidi]

Best example..

[@umeshyadav-fz1fh]

In deductible every time need to 100 dollars or once we buy policy first time that time only need to pay

[@SantoshPantCPC]

initial claims every year

[@healthandwellness8559]

Very informative in very simple language.Thanks a lot sir.God bless you.you are helping so many people.

[@Artificial_Intelligence25]

Good

[@Ye_Khader_Bhai]

Please make video on Medicare Part a, part b etc.

[@curiosityliveworld3109]

Thanks sir it is very helping

[@abhisheksyag7163]

Hi Santosh What is the difference between deductible and copayment ?

[@VLOGbyRetesh]

Sir please aap ki voice celar toh hoti hai but bahut kam sound hota hai please isko ek baar sahi kare

[@AjaySingh-fs6no]

Thanks for sharing sir❤️🙏

[@rajendraverma3118]

great info

[@darshanlal2693]

I am looking for real time experience and a Job as Biller. Can @Santosh Pants help me ?

[@VrushaliMasurkar]

What is percentage amount of coins

[@shaktichaurasia2007]

Ye mujhe delectable ni samajh aaya

[@travelmaniavlogs495]

Hello bhai aap denials pr bhi video bnaoge.

[@AbdulQadir-xb4ly]

OON and INN benefits pe b bnao video

[@SateeshKumar-ns1dr]

What, if we claim the initial claim to a different corporate insurance and show that statement to the 2nd insurer to whom we opted for deductable, will that work or not?

[@RahulSharma-tp5bk]

You are too good 👌

[@anasuyasarkar5331]

Sir ek copay coinsurance aur deductable ka ek maths dikhaye ne please

[@mobinpmohan]

Hi Santosh.. A deductible is a set amount which patient needs to pay each year for healthcare before plan starts to share the costs of covered. Can u please check and clear whether the amout is paid to provider or Insurance?

[@SantoshPantCPC]

to be paid to Provider only

[@vivekchhapre1179]

But our process working in commercial so plz can u explain in this video

[@ishikakathuria3971]

Sir Can you pls make a video on sec 125