What do you do if you get a rejection that says: M/I PCN?
Write an example of what you would say when calling an insurance company.
What do you need to do for the rejection: M/I Birth Date? (select all that apply)
Check with the patient to make sure their date of birth in the EMR is correct.
Check the date of birth in the dispensing software
Get a prior authorization
Call the insurance company to see what date of birth they have on file
What should you say to a patient if your dispensary is not contracted with their insurance?
What do you do to a prescription that has a M/I pharmacy number rejection? (select all that apply)
Foward the prescription in the EMR
Take care of the patient first
Call the insurance company
Call the PSAO
Send a help desk ticket
For a refill too soon rejection:
Take care of the patient, void the prescription, and forward to a pharmacy
Void the prescription, take care of the patient, and change the written date
Take care of the patient, put the Rx on hold, and enter the date the Rx can be filled
Void the fill, send the patient home, and forward the prescription
Over the Medications that are not covered through the insurance can be charged the OTC price. These will not be covered by their insurance at an outside pharmacy.
True
False
What should you tell a patient whose prescription needs a prior authorization?
Select the steps you must take for a prior authrorization: (select all that apply)
Send the PA to the provider by clicking the PA button in the dispensing software
Tell the patient how long it will take
Rebill and fill once you know the PA was approved
Call the patient and let them know it's ready.
What do you do for the rejection: Non-Formulary Drug?
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