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Medicare Part D provides for prescription medications, biologicals, insulin, vaccines, and select medical supplies. All medications are not covered under Medicare Part D.
Which would not be considered a dependent of the employee who purchased the insurance?
child age 27 who does not have access to other health insurance
The codes used to bill different medical conditions are called
What is the markup for a drug that costs $9.99, has a dispensing cost of $2.75, and retails for $13.99?
The process by which a health insurance company determines if it should be the primary or secondary payer of medical claims for a patient who has coverage from more than one health insurance policy:
Coordination of Benefits
Which of the following provides the Medicare prescription drug benefit?
Medicare Part D
A Health Maintenance Organization (HMO) requires a patient to use
____ and either recommends or requires the use of
in-network pharmacies; generic drugs
Which of the following pieces of information is not transmitted by online adjudication?
Pharmacy technician’s name
The term used to describe the services provided by a pharmacy to patients in an assisted living facility or a nursing home is called
When do pharmacies not use ICD codes?
during drug recalls
Which of the statements regarding the prescription drug benefits is true?
Drug benefits can include tiered copays and exclude certain drugs.
What three components are needed to bill a pharmacy claim?
Member ID number, BIN, and PCN
A list of medications available for use within a health care system is called a:
Who is contracted by insurance companies to process the claims for the insurance company's members?
Which of the following groups does Medicaid not cover?
Single working individuals with above-average incomes
3 years ago
3 years ago
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2 years ago