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Multiple Choice Quiz
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1
What is the general beginning point for a successful claims transmission?
A)Recording the patient’s insurance information
B)Appealing the claim
C)Recording the correct patient information
D)Resubmitting the claim
2
Which of the following components does not need to be recorded when completing the patient information portion of the claim?
A)The patient’s name
B)The patient’s employer
C)The patient’s address
D)The patient’s gender
3
What components are recorded when completing the prescriber information portion of a claim?
A)Prescriber ID (NPI or DEA)
B)Prescriber last name
C)Prescriber phone number
D)All of the above
4
All the pharmacy claim information is consistent for each prescription except for:
A)The name of the pharmacist who fills the order
B)The name of the provider
C)The patient’s ID number
D)The pharmacy’s ID number
5
The NPI was formerly known as the:
A)Group ID number
B)NABP number
C)Cardholder ID number
D)None of the above
6
All of the following components should be recorded when completing the prescriber information portion of a claim except:
A)Group ID
B)Patient relationship
C)Cardholder ID
D)Pharmacy ID
7
The first insurance that a patient will use for claims is known as their:
A)Secondary insurance
B)First insurance
C)Primary insurance
D)Active insurance
8
All of the following components should be recorded when completing the prescription information portion of a claim except:
A)NPI number
B)Drug name
C)DEA number
D)Drug dosage
9
What DAW code indicator should be used when a patient wants to receive the brand product Nexium for their heartburn treatment instead of a similar generic drug?
A)0
B)1
C)2
D)3
10
What process must occur after the primary plan is billed, but before the secondary plan can be billed for any eligible unreimbursed amount?
A)Prior authorization
B)Adjudication
C)Drug utilization review
D)Compounding







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