Third Party Plans and Cards – Flashcards
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Which piece of information always appears on Third Party cards?
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Cardholder ID
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Which type of Third Party Plan covers prescriptions for anyone eligible for Medicare benefits, including senior citizens?
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Medicare Part B
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Which of the following should you use to search for the appropriate Third Party Plan Code?
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BIN/PCN
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Which type of Medicare Plan covers products and services only when a patient is hospitalized?
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Medicare Part A
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Which type of Third Party Plan is provided through an employer or purchased individually?
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Private Insurance
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In order to ensure that the information in a patient's profile is accurate you should
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Inactivate any existing plans in which the patient is no longer enrolled
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Which type of Third Party Plan is administered at the state level for people in need of healthcare assistance?
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Medicaid
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The Payer Relations Weekly Update is a resource available from:
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RxNet
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How does the Pharmacy Computer System sequence multiple plans for one patient?
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By plan type
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A fixed amount of money that a person has to pay before their Third Party Plan will begin to share prescription expenses is called a:
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deductible
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Which type of Third Party Plan covers work-related injuries?
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Workers' compensation
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Which of the following statements about the Health Savings Pass is true?
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It is a discount program for customers over 50
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What information found on Third Party Cards indicates the family member?
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Cardholder ID
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Which of the following is a requirement for processing a Medicare Part B claim?
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Diagnosis must be written
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What does PBM stand for?
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Pharmacy Benefits Manager
