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hey guys its kiana certified professional biller aapc approved instructor and medical billing business owner and in todays video i want to discuss patient responsibility how do you calculate patient responsibility and estimate what the insurance is going to pay so everything we discussed today is going to be all about in-network benefits okay so lets get started number one before youre able to calculate what patient and insurance reimbursement is going to be you have to verify the patients benefit so you want to contact provider services and verify if the patient has a co-payment so a co-payment is a set dollar amount the patient pays for a service so for example every time the patient sees their primary care doctor they have a 10 copay thats a set dollar amount there are always exceptions to the rules like maybe preventative services such as an annual exam or annual physical the copay may not apply but in general the co-payment again is a set dollar amount the patient has to pay