Practice Quiz

PTCE Pharmacy Technician

Category - Insurance

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Which of the following is not a reason to receive a "Missing/Invalid Cardholder ID" rejection message when submitting a claim to an insurance company?
  1. The patient's insurance coverage has ended
  2. The patient has been issued a new identification number
  3. The patient's ID number was typed into the pharmacy computer incorrectly
  4. Prior authorization is needed to obtain coverage for the medication submitted
Explanation
Answer: D - The "Missing/Invalid Cardholder ID" rejection message would not occur as a result of a prior authorization requirement. This rejection message is used by the insurance company to say that the patient's submitted information does not match any active patient information in their system. This can be due to the patient's coverage ending, a new identification number issued to the patient or the ID number incorrectly inputted into the computer.
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