Examples
Examples
Try the starting example
- Invoice items: name, invoiced $, eligible $
- Consult,200,150 Procedure,800,800
- Remaining deductible ($)
- 100
- Reimbursement rate (%)
- 80
- Remaining benefit cap ($)
- 500
- Order: deductible-first or percentage-first
- deductible-first
- Calculated reimbursement ($)
- $500.00
- Invoice less reimbursement ($)
- $500.00
- Deductible applied ($)
- $100.00
- Reimbursement before benefit cap ($)
- $680.00
- Invoiced amount marked ineligible ($)
- $50.00
Try another scenario
- Invoice items: name, invoiced $, eligible $
- Consult,200,150 Procedure,800,800
- Remaining deductible ($)
- 100
- Reimbursement rate (%)
- 80
- Remaining benefit cap ($)
- 1000
- Order: deductible-first or percentage-first
- percentage-first
- Calculated reimbursement ($)
- $660.00
- Invoice less reimbursement ($)
- $340.00
- Deductible applied ($)
- $100.00
- Reimbursement before benefit cap ($)
- $660.00
- Invoiced amount marked ineligible ($)
- $50.00
Calculation method
Calculation method
Calculated reimbursement ($)
Deductible-first: max(0,eligible−deductible)×rate. Percentage-first: max(0,eligible×rate−deductible). Then apply the supplied remaining benefit cap.
Invoice less reimbursement ($)
Total invoiced − capped reimbursement.
Deductible applied ($)
Deductible limited to the amount available at its selected deduction stage.
Reimbursement before benefit cap ($)
Non-negative result before applying remaining benefit cap.
Invoiced amount marked ineligible ($)
Total invoiced − supplied eligible amounts.
Symbols and units
- a
- Invoice items: name, invoiced $, eligible $
- b
- Remaining deductible ($)
- c
- Reimbursement rate (%)
- d
- Remaining benefit cap ($)
- e
- Order: deductible-first or percentage-first
Use the units shown. A list keeps the order in which you enter its values. The symbol ^ means “raised to the power of”.
Assumptions & limits
Assumptions & limits
- Mechanical arithmetic using amounts and calculation order you enter. It does not decide eligibility, interpret policy wording, apply unentered exclusions or predict an insurer’s settlement.
Are these inputs private?
These calculations run in your browser. A shared link contains the values you choose to share. Only questions submitted to the separate AI finder are sent to OpenAI.
Further reading
OpenStax: arithmetic and geometry ↗
Background reading; this does not imply endorsement or independent review of SumFizz.