Practice Quiz

PTCE Pharmacy Technician

Category - Insurance

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A new patient tries to fill a prescription on their insurance, and the insurance company rejects the claim with the message "Missing/Invalid Birthdate." You verify that you have the patient's correct birthdate in the computer. What can you do?
  1. Tell the patient that the insurance company won't pay for their medication
  2. Tell the patient they have to pay out of pocket for their medication and submit the receipt to the insurance company for reimbursement
  3. Call the patient's insurance company to see what birthdate they have on file
  4. Make up a different birthdate for the patient
Explanation
Answer: C - You should call the patient's insurance company to see what birthdate they have on file for the patient. Occasionally insurance companies will have the patient's birthdate entered into the computer incorrectly. In such cases, you should check with the company to see what birthdate they have entered for the patient. Generally, the patient will need to contact whoever coordinates their insurance, such as their company’s human resources department, to make sure that they have submitted the correct birthdate to the insurance company.
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